Individual
CHRISTINA MARIE BENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
409 BELL RD S, ROME, NY 13440-3864
(315) 338-6500
Mailing address
409 BELL RD S, ROME, NY 13440-3864
(561) 329-9952
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
734519
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
734519
—
NY
Enumeration date
09/01/2022
Last updated
09/01/2022
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