Individual
MARCY BENZER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
242381
MA
363LW0102X
Women's Health Nurse Practitioner
002094
CT
363LW0102X
Women's Health Nurse Practitioner
Primary
5560
MN
363LW0102X
Women's Health Nurse Practitioner
R050011
SD
363LW0102X
Women's Health Nurse Practitioner
R45533
ND
Other
Enumeration date
03/24/2006
Last updated
07/18/2018
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