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ROSALYN T BENSON NP
School >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1386931665
Individual Registrant: ROSALYN T BENSON NP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
15078 CALLE DEL ORO CHINO HILLS, CA 91709-5069 US
Tel: 909-606-9692 Fax: --
Tel: 909-606-9692 Fax: --
Contact information for business:
15078 CALLE DEL ORO CHINO HILLS, CA 91709-5069 US
Tel: 909-606-9692 Fax: --
Tel: 909-606-9692 Fax: --
Registration Information:
NPI: 1386931665
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 163WS0200X | Nursing Service Providers Registered Nurse School | CA | 507989 |
| N | 363LA2100X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 11707 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| NURSE PRACTITIONER | 11707 | CA | 01 |
| REGISTERED NURSE | 507989 | CA | 01 |
