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Contact Information

NICOLE S BENZONI, MD
1800 NW MYHRE RD
SILVERDALE, WA98383-7663
 Phone: 360-744-6525
 Fax: 360-744-8530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for NICOLE S BENZONI · (Female)

NPI # 1174053706
Status Active
Credentials MD
Entity Individual
Enumeration date 06/15/2017
Last updated 09/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2020013242
  • MO License # 2020039005
  • WA License # MD61251859
  • WA Medicaid 2211804
Hospital affiliation(s)
  • BARNES JEWISH HOSPITAL - (Acute Care)
    ONE BARNES-JEWISH HOSPITAL PLAZA
    SAINT LOUIS, MO 63110
  • SSM ST MARYS HEALTH CENTER - (Acute Care)
    6420 CLAYTON RD
    RICHMOND HEIGHTS, MO 63117
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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