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Individual

AMBER M BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP-CNP

Contact information

Practice address
10692 MEDLOCK BRIDGE RD STE 100A, JOHNS CREEK, GA 30097-8497
(404) 446-2496
(404) 446-2497
Mailing address
101 S PARK LN, ALTUS, OK 73521-5731
(580) 379-6140
(580) 379-6149

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
306774
GA
363LW0102X
Women's Health Nurse Practitioner
Primary
73397
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200228350A
OK
Enumeration date
01/26/2009
Last updated
08/17/2023
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