Provider Demographics
NPI:1114077740
Name:MARKER, BETTY Y (C-FNP)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:Y
Last Name:MARKER
Suffix:
Gender:F
Credentials:C-FNP
Other - Prefix:
Other - First Name:BETTY
Other - Middle Name:
Other - Last Name:YOLCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 6691
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-0913
Mailing Address - Country:US
Mailing Address - Phone:304-233-2455
Mailing Address - Fax:304-233-6073
Practice Address - Street 1:69 8TH ST
Practice Address - Street 2:
Practice Address - City:WELLSBURG
Practice Address - State:WV
Practice Address - Zip Code:26070-1605
Practice Address - Country:US
Practice Address - Phone:304-737-0321
Practice Address - Fax:304-737-2979
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV48349363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1026733240001Medicaid
PA233696NJYMedicare PIN
P57499Medicare UPIN
WVNP10261Medicare ID - Type Unspecified