Individual
EMILY ANNE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9305 W THOMAS RD STE 155, PHOENIX, AZ 85037-3360
(480) 573-7922
Mailing address
9020 W LONE CACTUS DR, PEORIA, AZ 85382-2469
(480) 578-1867
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
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