NPI 1487608642 · live from the CMS NPI Registry
Mary Benbenek, NP
Nurse Practitioner, Family in Minneapolis, MN. National Provider Identifier 1487608642, active.
NPI record
| NPI | 1487608642 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 2001 Bloomington Ave, Minneapolis, MN 55404 |
| Practice phone | 612-301-3433 |
| Mailing address | 420 Delaware St Se, Mmc 741, Minneapolis, MN 55455 |
| Enumerated | May 20, 2006 |
| Last updated | October 24, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | R0933533 (MN) |
| Nurse Practitioner, Family primary | 363LF0000X | R0933533 (MN) |
| Nurse Practitioner, Pediatrics | 363LP0200X | R0933533 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.