Individual
ELIZABETH D BENECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
Mailing address
990 SYLVAN WAY, BREMERTON, WA 98310-2851
(360) 479-3657
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209006681
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP 60359511
WA
367500000X
Certified Registered Nurse Anesthetist
RN60359508
WA
Other
Enumeration date
08/06/2007
Last updated
06/09/2015
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