MEDICARE: CHRISTIENNE BENEDICTO NP

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
1	363LF0000X	Family Nurse Practitioner	95000127	CA

General Provider Information

NPI Number	:	1588088215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIENNE BENEDICTO NP

Provider Business Mailing Address
First Line	:	1800 W EMPIRE AVE
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-3403
Country	:	US
Telephone Number	:	818-847-8609
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 W EMPIRE AVE
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-3403
Country	:	US
Telephone Number	:	818-847-8609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2014
Last Update Date	:	12/05/2025

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