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Individual

BRENDA J. BECKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
110 IRVING ST NW, CARDIAC SURGERY, WASHINGTON, DC 20010-2976
(202) 877-8895
Mailing address
5575 SEMINARY RD, #14, FALLS CHURCH, VA 22041-3553

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN64763
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037526800
DC
05
409759900
DC
Enumeration date
01/30/2006
Last updated
09/05/2008
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