STACIE ANN BENKULA

TWIN FALLS, ID
NPI1174116180
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  68125)
Additional Taxonomies163W00000X Registered Nurse
(Licence: ID  32305)
Enumeration Date2021-02-19
Last Update Date2024-04-09
Business Address
Mrs. STACIE ANN BENKULA FNP
857 POLK ST
TWIN FALLS, ID 83301-4095
Phone number: 208-731-9404
Mailing Address
Mrs. STACIE ANN BENKULA FNP
857 POLK ST
TWIN FALLS, ID 83301-4095
Phone number: 208-731-2090