Provider Demographics
NPI:1134298995
Name:CALHOUN HARMAN, BECKY J (RNC MSN FNP)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:J
Last Name:CALHOUN HARMAN
Suffix:
Gender:F
Credentials:RNC MSN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 CAMPUS BLVD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2888
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:540-536-0235
Practice Address - Street 1:100 HOSPITAL DR STE 1
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26847
Practice Address - Country:US
Practice Address - Phone:304-257-1944
Practice Address - Fax:304-257-9527
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV42808363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0166749000Medicaid
WV0166749000Medicaid
WVNP00622Medicare PIN
WVCANP00622Medicare ID - Type UnspecifiedMEDICARE