Individual
DANI SUE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1655 N GLADSTONE AVE STE E, COLUMBUS, IN 47201-5380
(812) 376-3071
(812) 375-2903
Mailing address
3515 AUTUMN CT, COLUMBUS, IN 47203-3559
(765) 561-1110
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71008861A
IN
363LF0000X
Family Nurse Practitioner
Primary
28132755A
IN
Other
Enumeration date
01/12/2019
Last updated
04/19/2023
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