Benedetto, Lisa

Benedetto, Lisa is an individual health care provider with primary practice located at 14050 Fairview Dr , Burnsville MN 55337-4571. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Benedetto, Lisa can be contacted via phone (952) 993-6500.

Contact Information

Primary practice address
14050 Fairview Dr Burnsville MN 55337-4571
Phone: (952) 993-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 131902-0 Minnesota

Profile Details

NPI number 1447213244
LBN Legal business name Benedetto, Lisa
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Apr 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447213244 NPPES
Minnesota Other 53M23BE BCBS
Minnesota Other HP31623 BCBS
Minnesota Other 160791 BCBS
Minnesota Other 923911025410 BCBS
Minnesota MEDICAID 866467600 BCBS
Minnesota Other 01-07502 BCBS

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