Individual
MRS. THERESA M BENASSI-POWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN CNP
Contact information
Practice address
601 JAMES R THOMPSON BLVD, BUILDING D 2015, EAST SAINT LOUIS, IL 62201-1129
(618) 482-6959
(618) 482-8311
Mailing address
601 JAMES R THOMPSON BLVD, BUILDING D 2015, EAST SAINT LOUIS, IL 62201-1129
(618) 482-6959
(618) 482-8311
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
—
IL
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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