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Individual

BENJAMIN D FRANCISCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
A.P.R.N.

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN114307
MO
363LP0200X
Pediatric Nurse Practitioner
Primary
114307
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
131721
BLUE SHIELD/BLUE CHOICE
MO
05
425188109
MO
01
4287202301
KANSAS MEDICAID
KS
01
446030
HEALTHLINK
MO
01
500015458
RR MEDICARE
MO
Enumeration date
06/01/2006
Last updated
09/14/2022
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