Individual
BENITA C BOCANEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1424 OLD STATION LOOP, HARDY, VA 24101-3600
(540) 765-7718
Mailing address
1424 OLD STATION LOOP, HARDY, VA 24101-3600
(540) 765-7718
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024179521
VA
Other
Enumeration date
06/26/2020
Last updated
11/09/2021
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