Individual
MISS LISA BENGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN FNP-BC
Contact information
Practice address
708 N SHADY RETREAT RD STE 5, DOYLESTOWN, PA 18901-2503
(215) 348-5888
(215) 348-7001
Mailing address
PO BOX 829641, PHILADELPHIA, PA 19182-0001
(267) 370-5296
(215) 230-3725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN640726
PA
363LF0000X
Family Nurse Practitioner
Primary
SP017012
PA
Other
Enumeration date
04/26/2017
Last updated
10/27/2020
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