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NPI Code Detail

MEDICARE: MRS. RUTH BENFIELD MSN, CRNP

MEDICARE:  MRS. RUTH  BENFIELD  MSN, CRNP
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
1363LA2200XAdult Health Nurse PractitionerUP-005044-CPA

General Provider Information

NPI Number : 1770724577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RUTH BENFIELD MSN, CRNP
Provider Business Mailing Address
First Line : 51 MEDICAL CAMPUS DR
Second Line :
City : LANSDALE
State : PA
Zip : 19446-1254
Country : US
Telephone Number : 215-855-2289
Fax Number : 215-343-9140
Provider Business Practice Location Address
First Line : 51 MEDICAL CAMPUS DR
Second Line :
City : LANSDALE
State : PA
Zip : 19446-1254
Country : US
Telephone Number : 215-855-2289
Fax Number : 215-343-9140
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2009
Last Update Date : 03/09/2009

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