Doctor Name: | MS. HAPPY LYON BENSON |
NPI Number: | 1265548861 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 75793 |
Business Practice Address: | 186 Providence St West Warwick, RI - 028932508 |
Business Phone Number: | 4016152800 |
Business Fax Number: | |
Mailing Address: | 161 Austin Dr, 139 BURLINGTON |
State: | VT |
Postal Code: | 054015403 |
Phone Number: | 8024972077 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 75793 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |