| 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 |