Individual
SHANNON MICHELLE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,WCC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN141609
LA
163WW0000X
Wound Care Registered Nurse
4260923
LA
Other
Enumeration date
09/27/2016
Last updated
10/03/2016
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