Individual
MS. ELIZABETH L BENJAMIN
Active
Individual
MS. ELIZABETH L BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
085330
OH
163W00000X
Registered Nurse
1055243
KY
163W00000X
Registered Nurse
28151384A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
22698
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000244186
ANTHEM
IN
01
—
000000556160
ANTHEM
—
05
—
0752823
—
OH
05
—
200399670
—
IN
01
—
430077995
RAILROAD MEDICARE
—
05
—
74226986
—
KY
Enumeration date
08/10/2006
Last updated
05/28/2008
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