Individual
RITA M BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2316 SOUTH ST, LAFAYETTE, IN 47904-2971
(765) 742-1567
(765) 429-2700
Mailing address
1716 HARTFORD ST, LAFAYETTE, IN 47904-2138
(765) 742-1567
(765) 429-2700
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
71009242A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300030434
—
IN
Enumeration date
08/16/2019
Last updated
09/25/2024
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