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Individual
SHELBY RENAE ALLEN-BENITZ
Active
Individual
SHELBY RENAE ALLEN-BENITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BC ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
105043
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G105043
IA
Other
Enumeration date
06/10/2009
Last updated
06/25/2012
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