Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE DAVIS BENINCOSA
Active Sole ProprietorBROOKE DAVIS BENINCOSA is a General Practice Nurse healthcare provider located in HUNTSVILLE, Utah. NPI 1194440180 is currently active in the NPPES registry. Verify at CMS.
General Practice Nurse · HUNTSVILLE, UT
Registration Details
- NPI Number
- 1194440180
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2022 (3.8637943635712 yrs)
- Last Updated
- Oct 11, 2022
- License
-
8145482-3102 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2891 EVERGREEN PARK DRHUNTSVILLE, UT, 843179686Browse UT providers · Browse ZIP 84317
- Phone
- 8014971872
- Primary Specialty
-
General Practice Nurse
163WG0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.