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Individual

KARIN BENNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
74 N BREIEL BLVD, MIDDLETOWN, OH 45042-3804
(513) 424-7291
Mailing address
74 N BREIEL BLVD, MIDDLETOWN, OH 45042-3804
(513) 424-7291

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.304080
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.024619
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN.304080
OHIO BOARD OF NURSING
OH
Enumeration date
02/01/2019
Last updated
05/22/2019
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