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Individual

LINDA A BENEDICT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(812) 353-9515
(812) 353-9275
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71002911
IN
363LA2200X
Adult Health Nurse Practitioner
71002911
IN
363LF0000X
Family Nurse Practitioner
Primary
71002911A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200985680
IN
Enumeration date
04/30/2009
Last updated
02/24/2022
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