Individual
MS. TERRI L BECKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-2432
(513) 872-8857
Mailing address
PO BOX 640738, CINCINNATI, OH 45264-0738
(937) 293-0247
(937) 293-0960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN172561
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000003670
ANTHEM
OH
05
—
0752805
—
OH
05
—
74378548
—
KY
Enumeration date
04/28/2006
Last updated
07/09/2007
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