Individual
LISA BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1470 N 16TH AVE, YAKIMA, WA 98902-1381
(509) 574-3300
Mailing address
PO BOX 9787, YAKIMA, WA 98909-0787
(509) 574-3350
(509) 225-3168
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30006721
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9641598
—
WA
Enumeration date
10/24/2006
Last updated
01/10/2018
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