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NPI Code Detail

MEDICARE: HEATHER L BECKNER MS, RN, NP-C

MEDICARE: HEATHER L BECKNER MS, RN, NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerSP034516PA
2363L00000XNurse Practitioner202004903NP-PPOR
3363LP2300XPrimary Care Nurse PractitionerRN2262404MA

General Provider Information

NPI Number : 1093238578
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER L BECKNER MS, RN, NP-C
Provider Business Mailing Address
First Line : 842 BOBWHITE LN
Second Line :
City : SECANE
State : PA
Zip : 19018-3301
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3900 WOODLAND AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19104-4551
Country : US
Telephone Number : 215-823-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2017
Last Update Date : 12/09/2025

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