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Individual
MRS. HEIDI BENSON
Active
Individual
MRS. HEIDI BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
643036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305738201
—
TX
01
—
889N26
BCBS
TX
01
—
TXB160102
MEDICARE PTAN
TX
Enumeration date
08/09/2006
Last updated
08/22/2014
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