SUZETTE ELISE BENECKE


Address: 2628 Elizabeth Pkwy, Fallon, NV 89406-5895
Phone: 7758359190

SUZETTE ELISE BENECKE (NPI# 1205469285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205469285
Entity Type Individual
Full Name SUZETTE ELISE BENECKE
Credential RN, CLE, CCL,
Practice Address 2628 Elizabeth Pkwy
Fallon
NV 89406-5895
Practice Telephone 7758359190
Mailing Telephone 7758359190
Enumeration Date 2020-02-18
Last Update Date 2020-02-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WL0100X Registered Nurse
Specialization: Lactation Consultant
CCL-771252 NV Nursing Service Providers
Y 163WX0003X Registered Nurse
Specialization: Obstetric, Inpatient
NV22619 NV Nursing Service Providers
N 174H00000X Health Educator 7-201712 NV Other Service Providers

Office Location

Street Address 2628 ELIZABETH PKWY
City FALLON
State NV
Zip Code 89406-5895

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Taxonomy Information

Taxonomy Code 163WX0003X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Obstetric, Inpatient

Taxonomy Definition

Definition to come...

Competitor

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City FALLON
Zip Code 89406

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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