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Individual

MISS EMILY ROSE BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1860 FAIR AVE, SUITE A, HONESDALE, PA 18431-2108
(570) 253-3391
(570) 253-1811
Mailing address
1860 FAIR AVE, SUITE A, HONESDALE, PA 18431-2108
(570) 253-3391
(570) 253-1811

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
589093-1
NY
163W00000X
Registered Nurse
RN654318
PA
363LF0000X
Family Nurse Practitioner
F335848-1
NY
363LF0000X
Family Nurse Practitioner
Primary
SP013606
PA

Other

Enumeration date
06/16/2009
Last updated
06/11/2014
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