Provider Demographics
NPI:1124792858
Name:BENSON, FRANCESCA B (RDN, LN)
Entity type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:B
Last Name:BENSON
Suffix:
Gender:F
Credentials:RDN, LN
Other - Prefix:
Other - First Name:FRANKIE
Other - Middle Name:B
Other - Last Name:BENSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDN, LN
Mailing Address - Street 1:PO BOX 200
Mailing Address - Street 2:
Mailing Address - City:FORT THOMPSON
Mailing Address - State:SD
Mailing Address - Zip Code:57339-0200
Mailing Address - Country:US
Mailing Address - Phone:605-245-1621
Mailing Address - Fax:
Practice Address - Street 1:1330 IHS DRIVE
Practice Address - Street 2:
Practice Address - City:FORT THOMPSON
Practice Address - State:SD
Practice Address - Zip Code:57339-5733
Practice Address - Country:US
Practice Address - Phone:605-245-1621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD86085979133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered