MR. ERIC GUST BENSON RN FNP NPI 1649527664

NPI Information

NPI: 1649527664
Provider Name: MR. ERIC GUST BENSON, RN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
12700 WELCH ST
WATERFORD, CA
ZIP 95386
Phone: (209) 874-2345
Get Directions

MR. Eric Gust Benson, RN, FNP is a family nurse practitioner in Waterford, CA. MR. Eric Gust Benson, RN, FNP NPI is 1649527664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12700 WELCH ST
WATERFORD, CA
ZIP 95386-765
Phone: (209) 874-2345
Fax: (209) 874-3926

The NPI 1649527664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/8/2012 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		492134	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	13248	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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