Individual provider · Type 1 NPI
Heran Beniam, NP
Pediatric Nurse Practitioner · Dallas, TX
NPI number
1780493874
Active
Practice location
5323 Harry Hines Blvd
Dallas, TX 75390
Mailing address
6657 Rockleigh Way
Alexandria, VA 22315-3479
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 1167115 (TX) |
| Critical Care Pediatric Nurse Practitioner | 363LP0222X | 1167115 (TX) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1780493874
Heran Beniam, NP's National Provider Identifier is 1780493874, issued on Jan 3, 2025. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Dallas, TX. The record was last updated on Apr 30, 2025.