Individual
ANGELLA M BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
990 TAMIAMI TRL N, NAPLES, FL 34102-5403
(239) 434-6300
(239) 434-7174
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9187539
FL
363LA2200X
Adult Health Nurse Practitioner
ARNP9187539
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
308620800
—
FL
01
—
P01213804
RAILROAD MCR
FL
01
—
Y0J2B
BCBS OF FL
FL
Enumeration date
08/13/2007
Last updated
10/25/2013
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