Individual provider · NPI-1

Rita Benefo

Registered Nurse, General Practice · Bloomington, IN

NPI number1457230187
StatusActive
Last updated in NPPESAug 27, 2025

Details

NPI
1457230187
Entity type
Individual (NPI-1)
Name
Rita Benefo
Sex
Female
Sole proprietor
No
Enumeration date
Aug 27, 2025
Certification date
Aug 20, 2025
Last updated
Aug 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163WG0000X Registered Nurse, General Practice28281616AINYes

Practice location

2651 E Discovery Pkwy
Bloomington, IN 47408-9059

Phone 832-486-0458

Mailing address

2651 E Discovery Pkwy
Bloomington, IN 47408-9059

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