Individual
MRS. DANIELLE BENEDEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1010 W 2ND ST, BLOOMINGTON, IN 47403-2217
(812) 334-3955
(812) 334-5792
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329
(812) 353-3087
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71005714A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201314660
—
IN
Enumeration date
06/05/2015
Last updated
12/02/2020
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