Paulette Lytle Becker, R.N., M.S.N.

Individual provider Active NPI Administrator Registered Nurse · Langley, WA

NPI 1710345558 · NPPES record last updated Feb 8, 2016

Key facts

NPI
1710345558
Entity type
Individual (NPI type 1)
Primary specialty
Administrator Registered Nurse 163WA2000X
License
RN 00136707 (WA)
Practice address
2270 Soundview Dr
Langley, WA 98260-9582
Phone
(360) 321-2250
Fax
(419) 831-3514
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 00136707WAMDAdministrator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X RN 00136707 WA Yes

Addresses

Primary practice location

2270 Soundview Dr
Langley, WA 98260-9582

Mailing address

2270 Soundview Dr
Langley, WA 98260-9582
Phone (360) 321-2250

Other providers in Langley, WA

All providers in Langley, WA · Administrator Registered Nurse in Washington

Sources for this page

Verify at the official NPI Registry.