Individual
MRS. GLADYS SUSAN BENAVENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ANP-C, CNN
Contact information
Practice address
3601 S.6TH AVE, MC -5-121A, TUCSON, AZ 85723-0001
(520) 792-1450
(520) 629-1764
Mailing address
6141 N GINGER AVE, TUCSON, AZ 85741-3672
(520) 544-0132
(520) 742-9117
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN036680
AZ
Other
Enumeration date
06/19/2006
Last updated
07/08/2007
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