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Contact Information

STACIE A BENKULA, FNP
857 POLK ST
TWIN FALLS, ID83301-4095
 Phone: 208-731-9404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for STACIE A BENKULA · (Female)

NPI Number 1174116180
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 02/19/2021
Last updated 07/18/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • ID License # 32305
  • ID License # 68125
Hospital affiliation(s) Not Available
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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