Individual
MICHELLE BENBOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 N. 39 ST, PHILADELPHIA, PA 19104-2640
(215) 514-4169
Mailing address
51 N. 39 ST, PHILADELPHIA, PA 19104-2640
(215) 514-4169
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP030999
PA
Other
Enumeration date
03/02/2020
Last updated
11/21/2024
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