Individual provider · Type 1 NPI

Theresa Lynn Benacquisto, RN BSN OCN

Oncology Registered Nurse · Detroit, MI

NPI number 1841912136 Active

Practice location

4646 John R
Detroit, MI 48201

Call (313) 576-1000 Map

Mailing address

12335 Kent Ct
Southgate, MI 48195-2315

Specialties and licenses

Taxonomy	Code	License
Oncology Registered Nurse Primary	163WX0200X	4704153521 (MI)

Oncology Registered Nurse: Definition to come...

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About NPI 1841912136

Theresa Lynn Benacquisto, RN BSN OCN's National Provider Identifier is 1841912136, issued on Sep 14, 2022. The primary taxonomy on file is Oncology Registered Nurse (163WX0200X), and the practice location is in Detroit, MI. The record was last updated on Sep 14, 2022.