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Individual

ERIKA BROSLAT BENFIELD

Active
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Individual

ERIKA BROSLAT BENFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
779618
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
310837501
TX
01
885N62
BCBSTX
TX
01
P01108626
MEDICARE RAILROAD
Enumeration date
09/11/2012
Last updated
11/19/2013
About Stedi
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  • EDI platform