Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 52750 | TN |
NPI | 1144287616 |
---|---|
Provider Name | Teresa A. Becker |
First Address | Mountain Home, TN 37684-0699 |
Second Address | Johnson City, TN 37604-6035 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3714474 | GROUP MEDICARE PIN (01) | TN |