Individual
MRS. CYNTHIA LOUISE BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5113 BIRCHWOOD AVE, SHEBOYGAN, WI 53083-5803
(920) 458-2448
Mailing address
5113 BIRCHWOOD AVE, SHEBOYGAN, WI 53083-5803
(920) 458-2448
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
115345-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35036100
CURRENT BILLING PROVIDER
WI
Enumeration date
08/29/2007
Last updated
08/29/2007
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