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Individual

SAMANTHA LYNN BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
929 N SAINT FRANCIS AVE, WICHITA, KS 67214-3821
(316) 268-8050
Mailing address
348 N TYLER RD, WELLINGTON, KS 67152-8034
(316) 217-5694

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
81984
KS
363LA2100X
Acute Care Nurse Practitioner
53-81984-021
KS
363LC0200X
Critical Care Medicine Nurse Practitioner
53-81984-021
KS
363LF0000X
Family Nurse Practitioner
53-81984-021
KS

Other

Enumeration date
02/27/2023
Last updated
03/28/2023
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