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NPI Code Detail

MEDICARE: HOLLY BECKER APRN

MEDICARE: HOLLY BECKER APRN
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
1363LF0000XFamily Nurse Practitioner3009400KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2K141040OTHERMEDICARE NUMBER (CYNTHIANA)
4K141041OTHERMEDICARE NUMBER (CARLISLE)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
33009400OTHERKYAPRN LICENSE

General Provider Information

NPI Number : 1699154674
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY BECKER APRN
Provider Business Mailing Address
First Line : 209 N MAYSVILLE ST STE 200
Second Line :
City : MOUNT STERLING
State : KY
Zip : 40353-1179
Country : US
Telephone Number : 859-404-7686
Fax Number : 859-498-8160
Provider Business Practice Location Address
First Line : 2330 CONCRETE RD
Second Line :
City : CARLISLE
State : KY
Zip : 40311-9700
Country : US
Telephone Number : 859-405-4025
Fax Number : 859-517-3014
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2015
Last Update Date : 07/21/2022

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Directions to “ HOLLY BECKER APRN” Practice Location

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