Individual
THERESA S BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3120 S 27TH ST FL 2, MILWAUKEE, WI 53215-4338
(414) 672-8282
(414) 672-8284
Mailing address
335 MAHN COURT, OAK CREEK, WI 53154
(414) 762-2020
(414) 762-2024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2147-033
WI
363LA2200X
Adult Health Nurse Practitioner
2147-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43972500
—
WI
Enumeration date
08/17/2005
Last updated
12/08/2021
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