# DONNA BECKETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891749693
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 36473 | WV | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 02/17/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001836212 | WV BC/BS | WV |
| 05 | — | 010354005 | — | VA |
| 01 | — | 1068121 | WV DWC | WV |
| 01 | — | 3810002565 | WV MCD | WV |
| 01 | — | P00378828 | RR MEDICARE | — |