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NPI Code Detail

MEDICARE: STACI BECKER ARNP

MEDICARE: STACI BECKER ARNP
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
1363L00000XNurse PractitionerH130977IA

General Provider Information

NPI Number : 1730563727
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACI BECKER ARNP
Provider Business Mailing Address
First Line : 1026 A AVE NE
Second Line : 3026
City : CEDAR RAPIDS
State : IA
Zip : 52402-5036
Country : US
Telephone Number : 319-369-7331
Fax Number :
Provider Business Practice Location Address
First Line : 1026 A AVE NE
Second Line : 3026
City : CEDAR RAPIDS
State : IA
Zip : 52402-5036
Country : US
Telephone Number : 319-369-7331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2015
Last Update Date : 07/20/2015

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Directions to “ STACI BECKER ARNP” Practice Location

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