Provider Demographics
NPI:1639803729
Name:BENSON, ALLISON E (RN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:E
Last Name:BENSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1053
Mailing Address - Street 2:
Mailing Address - City:ALCALDE
Mailing Address - State:NM
Mailing Address - Zip Code:87511-1053
Mailing Address - Country:US
Mailing Address - Phone:505-929-4555
Mailing Address - Fax:
Practice Address - Street 1:1316 CALLE ADELANTE
Practice Address - Street 2:
Practice Address - City:ESPANOLA
Practice Address - State:NM
Practice Address - Zip Code:87532-3464
Practice Address - Country:US
Practice Address - Phone:505-929-4555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-13
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM59524163WD0400X, 163WR1000X, 163WX0106X, 163WX1500X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
No163WR1000XNursing Service ProvidersRegistered NurseReproductive Endocrinology/Infertility
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
No163WX1500XNursing Service ProvidersRegistered NurseOstomy Care