Individual
MRS. STEPHANIE R BECKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
15 WALKER AVE, BALTIMORE, MD 21208-4004
(410) 486-6800
(410) 484-6534
Mailing address
2520 SUMMERSON RD, BALTIMORE, MD 21209-2516
(410) 484-4785
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R088031
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
791330300
—
MD
Enumeration date
01/04/2006
Last updated
07/08/2007
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