Individual
MR. BENNY FRANK HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7741
(334) 255-7710
Mailing address
301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362
(334) 255-7000
(334) 255-7710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-052217
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-21456
BCBS
AL
Enumeration date
09/23/2006
Last updated
09/26/2012
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