Tuesday Marie Benavidez-knight, | |
6940 Destiny Dr, Rocklin, CA 95677-2987 | |
(916) 223-7731 | |
Not Available |
Full Name | Tuesday Marie Benavidez-knight |
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Gender | Female |
Speciality | Registered Nurse - Lactation Consultant |
Location | 6940 Destiny Dr, Rocklin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154581247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | CNM1812 (California) | Secondary |
163WL0100X | Registered Nurse - Lactation Consultant | 620243 (California) | Primary |
Entity Name | County Of San Joaquin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801830583 PECOS PAC ID: 6002703436 Enrollment ID: O20040301001287 |
Entity Name | San Joaquin Faculty Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225063761 PECOS PAC ID: 4082631395 Enrollment ID: O20051026000742 |
Mailing Address | Practice Location Address |
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Tuesday Marie Benavidez-knight, Po Box 1260, Davis, CA 95617-1260 Ph: (530) 753-3498 | Tuesday Marie Benavidez-knight, 6940 Destiny Dr, Rocklin, CA 95677-2987 Ph: (916) 223-7731 |
Lawrence Rosaluna, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5645 Harvest Rd, Rocklin, CA 95765 Phone: 916-765-2542 | |
Gay Lee Wilhelm, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5508 Rye Court, Rocklin, CA 95765 Phone: 916-435-0701 | |
Amandeep Kaur, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1643 Lion St, Rocklin, CA 95765 Phone: 206-724-9339 | |
Milena Micu, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2106 Collet Ct, Rocklin, CA 95765 Phone: 614-499-5378 | |
Samantha Lee Johnson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6601 Blue Oaks Blvd, 6103, Rocklin, CA 95765 Phone: 978-895-5033 | |
Alicia Marie Yost-cardoza, REGISTER NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6459 Cormorant Cir, Rocklin, CA 95765 Phone: 916-778-8115 | |
Mrs. Patricia M. Evans-bechtold, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4330 Racetrack Rd, Rocklin, CA 95677 Phone: 916-624-0439 Fax: 916-624-0439 |