Individual
MS. CAROL LEA BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1551 WILMINGTON DR, MELBOURNE, FL 32940-1480
(402) 880-9297
Mailing address
1551 WILMINGTON DR, MELBOURNE, FL 32940-1480
(402) 880-9297
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP 9296077
FL
Other
Enumeration date
09/08/2005
Last updated
06/15/2011
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