Individual provider · Type 1 NPI
Eric Gust Benson, RN, FNP
Family Nurse Practitioner · Waterford, CA
NPI number
1649527664
Active
Practice location
12700 Welch St
Waterford, CA 95386-8765
Fax (209) 874-3926
Mailing address
434 E Fairmont Ave
Modesto, CA 95354-0207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 492134 (CA) |
| Family Nurse Practitioner Primary | 363LF0000X | 13248 (CA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
Other family nurse practitioner providers in Waterford
About NPI 1649527664
Eric Gust Benson, RN, FNP's National Provider Identifier is 1649527664, issued on Aug 8, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waterford, CA. The record was last updated on Mar 7, 2023.