Individual
TERESA BENEFIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1800 N OAK DR, PLYMOUTH, IN 46563-3406
(574) 936-3784
(574) 935-9076
Mailing address
1800 N OAK DR, PLYMOUTH, IN 46563-3406
(574) 936-3784
(574) 935-9076
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71006330A
IN
Other
Enumeration date
07/13/2016
Last updated
03/31/2021
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