Individual
CHRISTOPHER MICHAEL BENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
1600 E BROADWAY, COLUMBIA, MO 65201-5844
(573) 815-8000
Mailing address
511 JUSTIN LN, ASHLAND, MO 65010-1030
(573) 356-8591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2023007067
MO
Other
Enumeration date
02/23/2023
Last updated
08/10/2023
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