Irda Benge
Licensed Practical Nurse in Farmington Hills, MI. Individual provider (NPI-1).
NPI number1033744206
StatusActive
Last updated in NPPESMar 9, 2020
Details
- NPI
- 1033744206
- Entity type
- Individual (NPI-1)
- Name
- Irda Benge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2020
- Certification date
- Mar 9, 2020
- Last updated
- Mar 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703120735 | MI | Yes |
Practice location
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5326
Phone 248-299-0030
Mailing address
27777 Inkster Rd Ste 100Farmington Hills, MI 48334-5326
Phone 248-299-0030
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