Individual
MRS. MISTI G BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
275 N HIGHWAY 16, SUITE 103, DENVER, NC 28037-3000
(704) 489-8401
(704) 489-8404
Mailing address
275 N HIGHWAY 16, SUITE 103, DENVER, NC 28037-3000
(704) 489-8401
(704) 489-8404
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5004116
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5950140
—
NC
Enumeration date
04/03/2009
Last updated
04/03/2009
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