Individual
DEBRA EASLEY BENOIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 225-1512
Mailing address
1113 RYEGATE RD, BALTIMORE, MD 21286-1746
(410) 296-8011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R075232
MD
Other
Enumeration date
09/09/2005
Last updated
01/12/2009
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