Individual
HEATHER BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 W MAIN ST, MESA, AZ 85201-6920
(480) 964-2273
Mailing address
3033 N CENTRAL AVE STE 145, PHOENIX, AZ 85012-2808
(480) 964-2273
(602) 346-0399
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8329
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8329
AZ
Other
Enumeration date
03/15/2021
Last updated
01/30/2025
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