Individual
MRS. CYNTHIA CROCKER BENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN APRN
Contact information
Practice address
1415 TULANE AVE, NEW ORLEANS, LA 70112-2600
(504) 988-1371
(504) 988-4772
Mailing address
32 BOIMARE AVE, KENNER, LA 70065-3104
(504) 443-6503
(504) 988-4772
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
RN031423 AP01610
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126291
—
MS
05
—
1160440
—
LA
01
—
890001246
RAILROAD MEDICARE
LA
05
—
891017484
—
AL
Enumeration date
06/08/2005
Last updated
02/11/2008
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