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Individual

AMY E BENEFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3017 13TH ST, GULFPORT, MS 39501-1833
(228) 831-0050
(228) 831-1121
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3606
(601) 579-5240

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1-125754
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
R863937
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02582807
MS
01
1540792
CIGNA
MS
01
3476658
UNITED HEALTHCARE
MS
01
9963845
AETNA
MS
Enumeration date
07/02/2010
Last updated
09/04/2020
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