Individual
NEREIDA BENITEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
15499 THORY CT, FORT MYERS, FL 33908-4248
(239) 000-0000
Mailing address
15499 THORY CT, FORT MYERS, FL 33908-4248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9194812
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306068300
—
FL
01
—
G3395
BSFL
FL
01
—
G3395Z
MCR
FL
01
—
P100133893
MCRR
FL
Enumeration date
10/26/2005
Last updated
06/15/2012
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