Individual
SUZETTE ELISE BENECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CLE, CCL,
Contact information
Practice address
2628 ELIZABETH PKWY, FALLON, NV 89406-5895
(775) 835-9190
Mailing address
2628 ELIZABETH PKWY, FALLON, NV 89406-5895
(775) 835-9190
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
CCL-771252
NV
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
NV22619
NV
174H00000X
Health Educator
7-201712
NV
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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