Provider Demographics
NPI:1790486025
Name:BECKER, CESLY PAIGE (APRN, CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:CESLY
Middle Name:PAIGE
Last Name:BECKER
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
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Mailing Address - Street 1:9010 LORTON STATION BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079-4796
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9010 LORTON STATION BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LORTON
Practice Address - State:VA
Practice Address - Zip Code:22079-4796
Practice Address - Country:US
Practice Address - Phone:094-590-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-14
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL11025007363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics