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NPI Code Detail

MEDICARE: MS. MISTY BENFIELD GAINEY RN BSN SRNA

MEDICARE: MS. MISTY BENFIELD GAINEY RN BSN SRNA
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
1367500000XCertified Registered Nurse Anesthetist1786NC
2163W00000XRegistered Nurse201456NC

General Provider Information

NPI Number : 1396062618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MISTY BENFIELD GAINEY RN BSN SRNA
Provider Business Mailing Address
First Line : PO BOX 110566
Second Line :
City : DURHAM
State : NC
Zip : 27709-5566
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2301 ERWIN RD
Second Line :
City : DURHAM
State : NC
Zip : 27705-4699
Country : US
Telephone Number : 919-684-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2010
Last Update Date : 06/17/2026

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