Individual
MS. MARY SUE BENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1251 W CEDAR LOOP, CHEROKEE, IA 51012-1566
(712) 225-2594
(712) 225-6933
Mailing address
427 GILLEASE ST, CHEROKEE, IA 51012-1113
(712) 225-5946
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A059348
IA
Other
Enumeration date
10/21/2006
Last updated
07/08/2007
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