Provider Demographics
NPI:1417086166
Name:DEMPSEY, BECKY ANN (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:BECKY
Middle Name:ANN
Last Name:DEMPSEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111 1ST AVE 3
Mailing Address - Street 2:
Mailing Address - City:NITRO
Mailing Address - State:WV
Mailing Address - Zip Code:25143-1345
Mailing Address - Country:US
Mailing Address - Phone:304-755-4797
Mailing Address - Fax:304-755-4799
Practice Address - Street 1:4111 1ST AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:NITRO
Practice Address - State:WV
Practice Address - Zip Code:25143-1345
Practice Address - Country:US
Practice Address - Phone:304-755-4797
Practice Address - Fax:304-755-4799
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV52549363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV550773123OtherTAX ID
WV4333567OtherAETNA
WV001722524OtherBCBS
WV550773123OtherTAX ID
WVNP14031Medicare ID - Type Unspecified