Individual
VIRGINIA ONA BENALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
167 N MAIN, TUBA CITY, AZ 86045-0600
(928) 283-2629
Mailing address
PO BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2629
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
RN076279
AZ
163WN0003X
Low-Risk Neonatal Registered Nurse
RN076279
AZ
163WX0002X
High-Risk Obstetric Registered Nurse
RN076279
AZ
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
RN076279
AZ
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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