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Individual

EMILY ANNE BENNER

Active
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Individual

EMILY ANNE BENNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN199542
AZ
363LW0102X
Women's Health Nurse Practitioner
Primary
300203
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203517
AZ
Enumeration date
10/21/2022
Last updated
02/29/2024
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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