Individual
MADISON MARIE BENJERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 203-1080
Mailing address
178501 EVANS RD, GRANDVIEW, WA 98930-9022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60808390
WA
363LF0000X
Family Nurse Practitioner
Primary
AP70007897
WA
Other
Enumeration date
04/02/2025
Last updated
06/08/2025
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