NPI Code Details Logo

NPI 1760795728

NPI 1760795728 : ALZORA LOUISE BENJAMIN : BURLINGTON, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1760795728
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ALZORA LOUISE BENJAMIN
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/20/2010
-----------------------------------------------------
    Last Update Date     |    02/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1236 HUFFMAN MILL RD STE 1600 
-----------------------------------------------------
    City                 |    BURLINGTON
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27215-8700
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    336-438-1070
-----------------------------------------------------
    Fax                  |    336-438-1077
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    143 W FRANKLIN ST SUITE #600
-----------------------------------------------------
    City                 |    CHAPEL HILL
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    27516-2539
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    5004690
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    363LA2100X
-----------------------------------------------------
    Taxonomy Name        |    Acute Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    5004690
-----------------------------------------------------
    License Number State |    NC
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.