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Amanda S Becker, LPN

Licensed Practical Nurse in Springfield, OR. Individual provider (NPI-1).

NPI number1043031446
StatusActive
Last updated in NPPESOct 18, 2024

Details

NPI
1043031446
Entity type
Individual (NPI-1)
Name
Amanda S Becker
Credential
LPN
Sex
Female
Sole proprietor
No
Enumeration date
Oct 18, 2024
Certification date
Oct 18, 2024
Last updated
Oct 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse202002642LPNORYes

Other names

  • Amanda Haynes (Former Name)

Practice location

1050 10th St
Springfield, OR 97477-4003

Phone 541-744-4389

Mailing address

1050 10th St
Springfield, OR 97477-4003

Phone 541-744-4389

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