Robin Michelle Benjamin, LPN/NURSE

Individual provider Active NPI Licensed Practical Nurse · Mil., WI

NPI 1891031969 · NPPES record last updated Dec 18, 2012

Key facts

NPI
1891031969
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
33688-31 (WI)
Practice address
1536 N 20TH
Mil., WI 53205
Phone
(414) 350-0991
NPI assigned
Dec 18, 2012
Sex
Female
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

State licenses

LicenseStateTypeSpecialty
33688-31WIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 33688-31 WI Yes

Addresses

Primary practice location

1536 N 20TH
Mil., WI 53205

Mailing address

PO Box 05255
Milwaukee, WI 53205

Other providers in Mil., WI

All providers in Mil., WI · Licensed Practical Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.