Individual
MRS. BONNIE BERNICE BENETATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP,PHD
Contact information
Practice address
800 MOYE BLVD, GREENVILLE, NC 27834-3777
(252) 830-2149
Mailing address
338 CYPRESS SHORE RD, WASHINGTON, NC 27889-8555
(202) 549-7885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005558
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN54697
NURSING LICINSE
DC
Enumeration date
09/15/2006
Last updated
12/13/2012
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