Kelsie Rae Benavides
Nurse Practitioner - Acute Care
6512 Park Ave
Fort Smith
, Arkansas 72903-2132
Kelsie Rae Benavides
Nurse Practitioner - Acute Care
6512 Park Ave
Fort Smith
, Arkansas 72903-2132
(479) 806-1309
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About
Features
Specialties
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- Kelsie Rae Benavides
- 6512 Park Ave
- Fort Smith, AR
- Zip : 72903-2132
- Phone : (479) 806-1309
Second Address
- Kelsie Rae Benavides
- 6512 Park Ave
- Fort Smith, AR
- Zip : 72903-2132
- Phone : (479) 806-1309
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Is Kelsie Rae Benavides a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 213541 | AR |
National Provider Identifier
| NPI | 1033862883 |
|---|---|
| Provider Name | Kelsie Rae Benavides |
| First Address | Fort Smith, AR 72903-2132 |
| Second Address | Fort Smith, AR 72903-2132 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/02/2022 |
| Last Update Date | 01/02/2022 |
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.