Provider Demographics
NPI:1760818686
Name:BENFORD, DANNY (RN)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:BENFORD
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 NORTHLAKE CT
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-5644
Mailing Address - Country:US
Mailing Address - Phone:972-273-0361
Mailing Address - Fax:469-586-5494
Practice Address - Street 1:2408 NORTHLAKE CT
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-5644
Practice Address - Country:US
Practice Address - Phone:972-273-0361
Practice Address - Fax:469-586-5494
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-24
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX721438163WA2000X, 163WC0400X, 163WC1600X, 163WD1100X, 163WH0500X, 163WN0300X, 163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WD1100XNursing Service ProvidersRegistered NurseDialysis, Peritoneal
No163WH0500XNursing Service ProvidersRegistered NurseHemodialysis
No163WN0300XNursing Service ProvidersRegistered NurseNephrology
No163WN0800XNursing Service ProvidersRegistered NurseNeuroscience