Nicholas Becker, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Galesburg, IL
NPI 1043769987 · NPPES record last updated Oct 3, 2016
Key facts
- NPI
- 1043769987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209014828 (IL)
- Practice address
- 3333 N Seminary St
Galesburg, IL 61401-1251 - Phone
- (309) 344-3161
- Fax
- (309) 344-9498
- NPI assigned
- Oct 3, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209014828 | IL | Yes |
Addresses
Primary practice location
3333 N Seminary St
Galesburg, IL 61401-1251
Mailing address
3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161
Other providers in Galesburg, IL
- Jeffrey A. Baumgardner
- Beacon of Hope Hospice of Illinois
- Cindy Beadles
- Denise Beall
- Jodi Becker
- Anita Beetler
- Michelle E Beetler
- Shelby Beil
- Ivonne Lilian Beltran Lara
- Ralph S Benejam
All providers in Galesburg, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.