Healthcare Provider Details

I. General information

NPI: 1508886128
Provider Name (Legal Business Name): MIRIAM BECKER ARNP,CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12050 E COLONIAL DR WOMEN'SHEALTH CLINIC
ORLANDO FL
32826-4705
US

IV. Provider business mailing address

12050 E COLONIAL DR WOMEN'SHEALTH CLINIC
ORLANDO FL
32826-4705
US

V. Phone/Fax

Practice location:
  • Phone: 407-249-6232
  • Fax: 407-249-4456
Mailing address:
  • Phone: 407-249-6232
  • Fax: 407-249-4456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP1120882
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: