Provider Demographics
NPI:1992801013
Name:BECKER, DONNA BOND (MSN, APRN-BC)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:BOND
Last Name:BECKER
Suffix:
Gender:F
Credentials:MSN, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 SWANSON CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-4736
Mailing Address - Country:US
Mailing Address - Phone:864-370-9748
Mailing Address - Fax:
Practice Address - Street 1:3510 AUGUSTA RD
Practice Address - Street 2:GREENVILLE VA OUTPATIENT CLINIC
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-1302
Practice Address - Country:US
Practice Address - Phone:864-299-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAC1291363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care