Benkula, Stacie Ann

Benkula, Stacie Ann is an sole proprietor health care provider with primary practice located at 857 Polk St , Twin Falls ID 83301-4095. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Benkula, Stacie Ann can be contacted via phone (208) 731-9404.

Contact Information

Primary practice address
857 Polk St Twin Falls ID 83301-4095
Phone: (208) 731-9404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 32305 Idaho
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 68125 Idaho

Profile Details

NPI number 1174116180
LBN Legal business name Benkula, Stacie Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2021
Last updated Jul 18th, 2024 - about 2 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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