Anne M Benson, FNPC
Individual provider Active NPI Nurse Practitioner · Prescott, AZ
NPI 1487780482 · NPPES record last updated Apr 16, 2013
Key facts
- NPI
- 1487780482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN043683 (AZ)
- Practice address
- 3112 Clearwater Dr Ste a
Prescott, AZ 86305-7187 - Phone
- (928) 776-4612
- Fax
- (928) 771-1767
- NPI assigned
- Feb 26, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800 | AZ | MD | Orthopedic Physical Therapist |
| RN043683 | AZ | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN043683 | AZ | Yes |
Addresses
Primary practice location
3112 Clearwater Dr Ste a
Prescott, AZ 86305-7187
Mailing address
3112 Clearwater Dr Ste a
Prescott, AZ 86305-7187
Phone (928) 776-4612
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889678 | Medicaid | AZ |
Other providers in Prescott, AZ
- Benjamin S Stehower
- Bennett Clinic LLC
- Bennett Clinic LLC
- Wayne A Bennett
- Jason K Bennion
- Bradley Vernon Benson
- Brian David Benson
- Eric Bequary
- August Henry Bergman
- Douglas Alan Bergstrom
All providers in Prescott, AZ · Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.