Healthcare Provider Details

I. General information

NPI: 1346837275
Provider Name (Legal Business Name): MARGARET BECKER RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2020
Last Update Date: 12/27/2020
Certification Date: 12/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 819 BOX 2846
FPO AE
09645-0029
US

IV. Provider business mailing address

5 CHATHAM CT
AMHERST NH
03031-1523
US

V. Phone/Fax

Practice location:
  • Phone: 619-916-8427
  • Fax:
Mailing address:
  • Phone: 619-916-8427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number822670
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-143993
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: