MARY TAYLOR BENSON
Individual Provider (NPI-1)
Active
Nurse Practitioner
Provider Information
- NPI Number
1043602147- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 987 PARALLEL DR STE C, LAKEPORT, CA, 954535708
- Phone
- (707) 262-5088
Specialties & Taxonomies
Clinical Nurse Specialist, Family Health
License: MS #R863948
Nurse Practitioner
Primary License: OH #APRN.CNP.0041364
Nurse Practitioner, Family
License: CA #NP95010828
Nurse Practitioner, Family
License: WA #AP60909312
Nurse Practitioner, Family
License: CT #8067
All Addresses
MAILING
1010 MINT SPRINGS RD
TERRY, MS, 391708778