Doctor Name: | AMY LYNN BENE |
NPI Number: | 1992162432 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN30186833 |
Business Practice Address: | 480 Central Ave Jbphh, HI - 968604908 |
Business Phone Number: | 8086531400 |
Business Fax Number: | |
Mailing Address: | Bldg 22, Nctams Pac, Branch Health Clinic Wahiawa WA |
State: | HI |
Postal Code: | 96786 |
Phone Number: | 8086531400 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2016 |
NPI Last Update Date: | 01/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP2201X |
License Number: | RN30186833 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Ambulatory Care |
Taxonomy Definition: |