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Individual
JOANN BENN
Active
Individual
JOANN BENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
500576
NY
363LF0000X
Family Nurse Practitioner
Primary
333577
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02458120
—
NY
Enumeration date
04/10/2007
Last updated
11/14/2016
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