Individual
CHERYLL M BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8990 SPRINGBROOK DR NW, SUITE 250, COON RAPIDS, MN 55433-5850
(763) 398-0099
(763) 398-0124
Mailing address
25408 REDWING AVE, SHAFER, MN 55074-9612
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1119314
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36B73BE
BCBSMN
MN
05
—
403716200
—
MN
Enumeration date
08/09/2005
Last updated
04/03/2017
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