Individual
LISA A BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5880 UNIVERSITY AVE, WEST DES MOINES, IA 50266-8209
(515) 633-3835
(515) 633-3838
Mailing address
5880 UNIVERSITY AVE, WEST DES MOINES, IA 50266-8209
(515) 633-3835
(515) 633-3838
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A077937
IA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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