Annette Benson, RN
Individual provider Active NPI Registered Nurse · Waterville, MN
NPI 1699568899 · NPPES record last updated May 28, 2025
Key facts
- NPI
- 1699568899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1203453 (MN)
- Practice address
- 1059 Maple Dr
Waterville, MN 56096-1234 - Phone
- (612) 644-2076
- NPI assigned
- May 28, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1203453 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | |||
| Registered Nurse | 163W00000X | 1203453 | MN | Yes |
Addresses
Primary practice location
1059 Maple Dr
Waterville, MN 56096-1234
Mailing address
1059 Maple Dr
Waterville, MN 56096-1234
Phone (612) 644-2076
Other providers in Waterville, MN
All providers in Waterville, MN · Registered Nurse in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2025. 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.