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MARY BECKER LLC NPI 1295067411


NPI Information

NPI: 1295067411
Provider Name: MARY BECKER, LLC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

Address:
4121 DUTCHMANS LN
SUITE 101
LOUISVILLE, KY
ZIP 40207
Phone: (502) 896-8660
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MARY BECKER, LLC is a women's health nurse practitioner in Louisville, KY. MARY BECKER, LLC NPI is 1295067411. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4121 DUTCHMANS LN
SUITE 101
LOUISVILLE, KY
ZIP 40207-707
Phone: (502) 896-8660
Fax: (502) 896-5863

The provider's authorized official is Karolyn Sumser .
The authorized official title is Business Manager and has the following contact phone number (502) 896-8660.

The enumeration date for this NPI number is 2/13/2010 and was last updated on 1/25/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LW0102XNurse PractitionerWomen's Health2137PKENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11952305807OTHERKENTUCKYINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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