Individual provider · Type 1 NPI
Brooke Davis Benincosa
General Practice Registered Nurse · Huntsville, UT
NPI number
1194440180
Active
Practice location
2891 Evergreen Park Dr
Huntsville, UT 84317-9686
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 8145482-3102 (UT) |
General Practice Registered Nurse: Definition to come...
About NPI 1194440180
Brooke Davis Benincosa's National Provider Identifier is 1194440180, issued on Oct 11, 2022. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Huntsville, UT. The record was last updated on Oct 11, 2022.