Individual provider · Type 1 NPI

Petra Bennefield, RN

Registered Nurse · Polacca, AZ

NPI number 1154634731 Active

Practice location

Hwy 264 Milepost 388
Polacca, AZ 86042-4000

Call (928) 737-6000 Map

Fax (928) 737-6080

Mailing address

PO Box 4000
Polacca, AZ 86042-4000

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN175196 (GA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1154634731

Petra Bennefield, RN's National Provider Identifier is 1154634731, issued on Jul 23, 2010. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Polacca, AZ. The record was last updated on Jul 23, 2010.