Alyssa Benson
Nurse Practitioner - Family Medicine
12420 130th Ave N
Largo
, Florida 33774-1919
Alyssa Benson
Nurse Practitioner - Family Medicine
12420 130th Ave N
Largo
, Florida 33774-1919
(727) 824-8181
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Alyssa Benson
- Po Box 10549
- St Petersburg, FL
- Zip : 33733-0549
- Phone : (727) 824-8181
Second Address
- Alyssa Benson
- 12420 130th Ave N
- Largo, FL
- Zip : 33774-1919
- Fax : (727) 587-7739
- Phone : (727) 824-8181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9459906 | FL |
National Provider Identifier
| NPI | 1003203894 |
|---|---|
| Provider Name | Alyssa Benson |
| First Address | St Petersburg, FL 33733-0549 |
| Second Address | Largo, FL 33774-1919 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/04/2015 |
| Last Update Date | 21/09/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.