Individual
MS. MARY BENBENEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2001 BLOOMINGTON AVE, MINNEAPOLIS, MN 55404-3074
(612) 301-3433
(612) 627-4205
Mailing address
420 DELAWARE ST SE, MMC 741, MINNEAPOLIS, MN 55455-0341
(612) 624-9499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R0933533
MN
363LF0000X
Family Nurse Practitioner
Primary
R0933533
MN
363LP0200X
Pediatric Nurse Practitioner
R0933533
MN
Other
Enumeration date
05/20/2006
Last updated
10/24/2014
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