Provider Demographics
NPI:1710300348
Name:BENE, MARIA MAGDALENA
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:MAGDALENA
Last Name:BENE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6811 129TH PL SE
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-4053
Mailing Address - Country:US
Mailing Address - Phone:425-564-8395
Mailing Address - Fax:425-564-8527
Practice Address - Street 1:6811 129TH PL SE
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-4053
Practice Address - Country:US
Practice Address - Phone:425-564-8395
Practice Address - Fax:425-564-8527
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA750438376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide