# LIZA M. BENFATTI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467452870
- **Gender:** F
- **Credential:** NNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | 604863 | TX | Yes |

## Other

- **Enumeration date:** 07/28/2005
- **Last updated:** 11/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 173702501 | — | TX |
| 05 | — | 173702502 | — | TX |
| 01 | — | 8Y1216 | BLUE CROSS BLUE SHIELD | TX |