Individual
LISA BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3130 ELLIS ST, BELLINGHAM, WA 98225-1904
(360) 734-4404
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-4831
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61037405
WA
363LF0000X
Family Nurse Practitioner
AP61037405
WA
Other
Enumeration date
04/30/2020
Last updated
02/02/2023
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