Individual
BENJAMIN HENRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
167 MAIN ST, TUBA CITY, AZ 86045
(866) 976-5941
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
247924
AZ
Other
Enumeration date
11/20/2017
Last updated
08/14/2024
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