Shirley Becton Mckenzie, PPCNP-BC | |
401 Carpenter Rd Bldg 525, 1015, Fort Myer, VA 22211-1009 | |
(703) 696-3614 | |
(703) 696-9248 |
Full Name | Shirley Becton Mckenzie |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 401 Carpenter Rd Bldg 525, Fort Myer, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740365493 | NPI | - | NPPES |
02807327 | Medicaid | VA | |
02807327 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 0017141236 (Virginia) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 0024171110 (Virginia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shirley Becton Mckenzie, PPCNP-BC 401 Carpenter Rd Bldg 525, 1015, Fort Myer, VA 22211-1009 Ph: (833) 853-1392 | Shirley Becton Mckenzie, PPCNP-BC 401 Carpenter Rd Bldg 525, 1015, Fort Myer, VA 22211-1009 Ph: (703) 696-3614 |