Individual provider · NPI-1
Jana Rose Benad, CNP
Family Medicine · Santa Fe, NM
NPI number1487478541
StatusActive
Last updated in NPPESNov 14, 2024
Details
- NPI
- 1487478541
- Entity type
- Individual (NPI-1)
- Name
- Jana Rose Benad
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2024
- Certification date
- Nov 13, 2024
- Last updated
- Nov 14, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 81411 | NM | Yes |
Practice location
2019 Galisteo St Ste A3Santa Fe, NM 87505-2143
Phone 505-988-2117
Mailing address
2019 Galisteo St Ste A3Santa Fe, NM 87505-2143
Phone 505-988-2117 · Fax 505-988-2119
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