Individual
SARA BENCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 280-8511
Mailing address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87106-2719
(505) 280-8511
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
62258
NM
363LP0200X
Pediatric Nurse Practitioner
95014132
CA
Other
Enumeration date
01/15/2020
Last updated
05/31/2023
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