Provider Demographics
NPI:1346837275
Name:BECKER, MARGARET (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:BECKER
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 CHATHAM CT
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-1523
Mailing Address - Country:US
Mailing Address - Phone:619-916-8427
Mailing Address - Fax:
Practice Address - Street 1:PSC 819 BOX 2846
Practice Address - Street 2:
Practice Address - City:FPO
Practice Address - State:AE
Practice Address - Zip Code:09645-0029
Practice Address - Country:US
Practice Address - Phone:619-916-8427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-27
Last Update Date:2020-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA822670163W00000X
CAL-143993163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163W00000XNursing Service ProvidersRegistered Nurse