Individual
ELIZABETH BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9825 HOSPITAL DR, SUITE 105, MAPLE GROVE, MN 55369-4479
(763) 780-6699
Mailing address
9825 HOSPITAL DR, SUITE 105, MAPLE GROVE, MN 55369-4479
(763) 420-0500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1470846
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
CNP4386
MN
Other
Enumeration date
06/03/2014
Last updated
12/05/2019
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