Sara Bencoe, DNP, CPNP-PC
Nurse Practitioner, Pediatrics in Albuquerque, NM. Individual provider (NPI-1).
NPI number1164062345
StatusActive
Last updated in NPPESMay 31, 2023
Details
- NPI
- 1164062345
- Entity type
- Individual (NPI-1)
- Name
- Sara Bencoe
- Credential
- DNP, CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2020
- Certification date
- May 31, 2023
- Last updated
- May 31, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 62258 | NM | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | 95014132 | CA |
Practice location
2211 Lomas Blvd NeAlbuquerque, NM 87106-2719
Phone 505-280-8511
Mailing address
2211 Lomas Blvd NeAlbuquerque, NM 87106-2719
Phone 505-280-8511
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