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NPI 1649612169 · live from the CMS NPI Registry

Bridget R Becka, NP

Nurse Practitioner in Ann Arbor, MI. National Provider Identifier 1649612169, active.

NPI record

NPI1649612169 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner 363L00000X
Practice location1500 E Medical Center Drive, 6th Floor Cs Mott Childrens Hospital, Ann Arbor, MI 48109
Practice phone734-936-4185
Mailing address3621 S State St, 700 Kms Place, Ann Arbor, MI 48108
EnumeratedJuly 25, 2013
Last updatedApril 14, 2015
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner primary363L00000X4704305348 (MI)
Nurse Practitioner, Pediatrics363LP0200XCOA.14838-NP (OH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.