IndividualActive
Becky Witham, FNP-C
NPI 1386047025 · Family Nurse Practitioner · Rolla, MO
Provider details
- NPI number
- 1386047025
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 2014035055 (MO)
Practice location
1060 W 10th St
Rolla, MO 65401-2905
Phone: (855) 406-3324
Fax: (573) 458-8363
Mailing address
1050 W 10th St
Rolla, MO 65401-2905
Registry dates
- Enumerated
- 2014-10-08
- Last updated
- 2025-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.