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Individual
SHANNON DIANN BENKO
Active
Individual
SHANNON DIANN BENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1051781
TX
363LF0000X
Family Nurse Practitioner
209-012715
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051781
CERTIFIED NURSE PRACTITIONER
TX
Enumeration date
06/24/2015
Last updated
05/23/2023
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