Individual
TARA ANNE BENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1414 9TH AVE, ALTOONA, PA 16602-2415
(814) 949-7602
Mailing address
1391 WILMORE RD, EBENSBURG, PA 15931-3807
(814) 232-0033
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP022054
PA
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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