Provider Demographics
NPI:1548403363
Name:DELUCA, BECKY JANE (WHNP-BC)
Entity type:Individual
Prefix:
First Name:BECKY
Middle Name:JANE
Last Name:DELUCA
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:301 2ND ST N
Mailing Address - Street 2:WOMENS HEALTH CENTER
Mailing Address - City:NEW PRAGUE
Mailing Address - State:MN
Mailing Address - Zip Code:56071-2189
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:301 2ND ST N
Practice Address - Street 2:WOMENS HEALTH CENTER
Practice Address - City:NEW PRAGUE
Practice Address - State:MN
Practice Address - Zip Code:56071-2189
Practice Address - Country:US
Practice Address - Phone:952-257-8915
Practice Address - Fax:952-257-8156
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2024-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNDEL1-0434-4620363LW0102X
MN2929363LW0102X
MN1578638363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health