Individual
SHANNON BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1601 NW 114TH ST STE 242, CLIVE, IA 50325-7036
(515) 643-6290
(515) 222-7791
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-6290
(515) 222-7791
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G126878
IA
Other
Enumeration date
02/19/2016
Last updated
03/04/2021
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