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Contact Information

TATYANA BECKETT, FNP-C
1900 WEALTHY ST SE STE 100
GRAND RAPIDS, MI49506-2972
 Phone: 616-267-7333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TATYANA BECKETT · (Female)

NPI Number 1508677055
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 01/15/2025
Last updated 12/08/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704304220
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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