Individual
BENJAMIN DENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5000
Mailing address
800 MERCY DR, COUNCIL BLUFFS, IA 51503-3128
(712) 328-5000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
113254
NE
363LA2100X
Acute Care Nurse Practitioner
Primary
H160154
IA
Other
Enumeration date
07/31/2020
Last updated
08/24/2020
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