Individual
BENVINDA ANN PEREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
255 N. CENTRAL BLVD., SUITE #5, QUARTZSITE, AZ 85346
(928) 927-6105
(928) 927-6110
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3838
(602) 633-3845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP1431
AZ
363LF0000X
Family Nurse Practitioner
RN115611
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
641474
—
AZ
01
—
AZ0147610
BCBS
AZ
01
—
CG7880
MEDICARE RAILROAD GROUP
AZ
01
—
P00235241
MEDICARE RAILROAD
AZ
01
—
Z164332
MEDICARE
AZ
Enumeration date
08/30/2006
Last updated
07/03/2019
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