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Individual

MS. CRYSTAL G. BENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
3246 42ND AVE SW, SEATTLE, WA 98116-3423
(206) 932-6221
Mailing address
3246 42ND AVE SW, SEATTLE, WA 98116-3423
(206) 932-6221

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
NUR R 34514
AK
163W00000X
Registered Nurse
RN00121603
WA
363L00000X
Nurse Practitioner
Primary
AP30006332
WA
363LF0000X
Family Nurse Practitioner
NUR U 1301
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0166566
L&I PIN
WA
01
25577U
REGENCE BLUE SHIELD PIN
WA
05
9635566
WA
Enumeration date
06/29/2006
Last updated
09/07/2016
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