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Tamela Benegar, LPN

Licensed Practical Nurse in Paw Paw, WV. Individual provider (NPI-1).

NPI number1760261663
StatusActive
Last updated in NPPESSep 28, 2023

Details

NPI
1760261663
Entity type
Individual (NPI-1)
Name
Tamela Benegar
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 28, 2023
Certification date
Sep 28, 2023
Last updated
Sep 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse38754WVYes

Practice location

4040 Bethel Rd
Paw Paw, WV 25434-3027

Phone 540-486-1742

Mailing address

4040 Bethel Rd
Paw Paw, WV 25434-3027

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