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NPI Code Detail

MEDICARE: MRS. CYNTHIA CROCKER BENZ MN APRN

MEDICARE:  MRS. CYNTHIA CROCKER BENZ  MN APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SA2200XAdult Health Clinical Nurse SpecialistRN031423 AP01610LA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1890001246OTHERLARAILROAD MEDICARE

Other Identifiers

General Provider Information

NPI Number : 1154325066
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA CROCKER BENZ MN APRN
Provider Business Mailing Address
First Line : 32 BOIMARE AVE
Second Line :
City : KENNER
State : LA
Zip : 70065-3104
Country : US
Telephone Number : 504-443-6503
Fax Number : 504-988-4772
Provider Business Practice Location Address
First Line : 1415 TULANE AVE
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-2600
Country : US
Telephone Number : 504-988-1371
Fax Number : 504-988-4772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 02/11/2008

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Directions to “ MRS. CYNTHIA CROCKER BENZ MN APRN” Practice Location

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