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Individual
MRS. THERESA JOANN BENDER
Active
Individual
MRS. THERESA JOANN BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, NP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
111282
NE
363L00000X
Nurse Practitioner
A131660
IA
363LF0000X
Family Nurse Practitioner
111282
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480100
—
NE
05
—
1164706693
—
IA
05
—
47068731712
—
NE
05
—
47068731724
—
NE
05
—
47068731741
—
NE
05
—
47068731749
—
NE
05
—
47068731798
—
NE
Enumeration date
10/03/2011
Last updated
09/01/2016
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