Mrs. STACIE ANN BENKULA FNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1174116180- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP
- Status
- Active
Contact & Location
- Address
- 857 POLK ST, TWIN FALLS, ID, 833014095
- Phone
- (208) 731-9404
Specialties & Taxonomies
Registered Nurse
License: ID #32305
Nurse Practitioner, Family
Primary License: ID #68125