Individual provider · NPI-1

Becky L Bockenhauer, PNP

Nurse Practitioner, Pediatrics · Madera, CA

NPI number1942359567
StatusActive
Last updated in NPPESDec 5, 2018

Details

NPI
1942359567
Entity type
Individual (NPI-1)
Name
Mrs. Becky L Bockenhauer
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 10, 2007
Last updated
Dec 5, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics209-005058ILYes

Other names

  • Becky L Melahn (Former Name)

Practice location

9300 Valley Childrens Pl
Madera, CA 93636-8761

Phone 559-353-6600

Mailing address

9300 Valley Childrens Pl
Madera, CA 93636-8761

Phone 559-353-3000 · Fax 559-353-6612

Other practice locations

1015 Summit St
Elgin, IL 60120-4362

Phone 847-742-6888

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