Individual
BILLIE M. BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6511 E STATE BLVD, FORT WAYNE, IN 46815-7026
(260) 425-2725
(260) 425-2726
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 425-2725
(260) 425-2726
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009972A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300037785
—
IN
Enumeration date
04/21/2020
Last updated
10/12/2021
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