SALLY ANN BECKER PA-C NPI 1801871207

NPI Information

Sally Ann Becker, PA-C is a medical physician assistant in Saint Cloud, MN. Sally Ann Becker, PA-C NPI is 1801871207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4801 VETERANS DR
SAINT CLOUD, MN
ZIP 56303-015
Phone: (320) 252-1670
Fax: (320) 255-6419

The NPI 1801871207 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2005 and was last updated on 12/7/2015.

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:

Other Identifiers

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

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