Individual
KATHERINE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
755 COWAN DRIVE, LEBANON, MO 65536
(417) 532-2805
(417) 532-2848
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2006022442
MO
363LF0000X
Family Nurse Practitioner
Primary
2016019527
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42003129
—
MO
Enumeration date
06/10/2016
Last updated
04/07/2023
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