Ms Charlene A Benz, CRNA | |
50 N Dunlap St, Memphis, TN 38103-2800 | |
(901) 572-3060 | |
Not Available |
Full Name | Ms Charlene A Benz |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 50 N Dunlap St, Memphis, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528067584 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 75218 (Tennessee) | Primary |
Entity Name | Pediatric Anesthesiologists P A |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720087802 PECOS PAC ID: 0941109482 Enrollment ID: O20040826000464 |
Mailing Address | Practice Location Address |
---|---|
Ms Charlene A Benz, CRNA 8010 Stage Hills Blvd, Bartlett, TN 38133-4032 Ph: (901) 291-2427 | Ms Charlene A Benz, CRNA 50 N Dunlap St, Memphis, TN 38103-2800 Ph: (901) 572-3060 |
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