Healthcare Provider Details

I. General information

NPI: 1598391062
Provider Name (Legal Business Name): DAWN MARIE BECKER DNP, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2020
Last Update Date: 03/17/2020
Certification Date: 03/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S GEORGE ST
YORK PA
17403-3676
US

IV. Provider business mailing address

1200 CHERIMOYA ST
YORK PA
17404-9696
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-6097
  • Fax:
Mailing address:
  • Phone: 717-873-4397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberCNS000088
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code364SS0200X
TaxonomySchool Clinical Nurse Specialist
License NumberCNS000088
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberCNS000088
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: