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NPI Code Detail

MEDICARE: ERICA LOUISE BENDER CNM, ARNP

MEDICARE: ERICA LOUISE BENDER CNM, ARNP
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
1367A00000XAdvanced Practice MidwifeARNP9182012FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407997240
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA LOUISE BENDER CNM, ARNP
Provider Business Mailing Address
First Line : 14842 WATER LOCUST DR
Second Line :
City : ORLANDO
State : FL
Zip : 32828-7327
Country : US
Telephone Number : 407-246-1788
Fax Number :
Provider Business Practice Location Address
First Line : 726 S TAMPA AVE
Second Line :
City : ORLANDO
State : FL
Zip : 32805-3646
Country : US
Telephone Number : 407-246-1788
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 08/26/2009

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