Individual provider · Type 1 NPI
Charles Henry Benafield, RN, PHN
Psychiatric/Mental Health Registered Nurse · Stockton, CA
NPI number
1760733273
Active
Practice location
4738 Grouse Run Dr
Stockton, CA 95207-5361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 821565 (CA) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 821565 (CA) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1760733273
Charles Henry Benafield, RN, PHN's National Provider Identifier is 1760733273, issued on Sep 24, 2012. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Stockton, CA. The record was last updated on Oct 9, 2015.