MEDICARE: HELEN ADELE BECKER-TENSLEY LPN

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
1	164W00000X	Licensed Practical Nurse	18903	CO

General Provider Information

NPI Number	:	1548481963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN ADELE BECKER-TENSLEY LPN

Provider Business Mailing Address
First Line	:	1521 CORAL SEA CT
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80526-9682
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	HARTSHORN HEALTH SERVICES CSU CAMPUS
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80523-6004
Country	:	US
Telephone Number	:	970-491-1754
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	07/08/2007

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