Individual
ROSALYN T BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
507989
CA
363LA2100X
Acute Care Nurse Practitioner
11707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11707
NURSE PRACTITIONER
CA
01
—
507989
REGISTERED NURSE
CA
Enumeration date
07/07/2011
Last updated
07/07/2011
Update your record
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