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Individual
DAWN M BENFORD
Active
Individual
DAWN M BENFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN140008
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP3501
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48440
—
AZ
Enumeration date
11/19/2009
Last updated
12/13/2024
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