Doctor Name: | PATRICIA LOUISE BENEDICT |
NPI Number: | 1134455363 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN,FNP |
License Number: | 71003093A |
Business Practice Address: | 540 Hospital Dr Winamac, IN - 469961173 |
Business Phone Number: | 5749462194 |
Business Fax Number: | 5749467801 |
Mailing Address: | 540 Hospital Dr, WINAMAC |
State: | IN |
Postal Code: | 469961173 |
Phone Number: | 5749462194 |
Fax Number: | 5749467801 |
NPI Enumeration Date: | 10/22/2009 |
NPI Last Update Date: | 01/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71003093A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |