Provider Demographics
NPI:1063812287
Name:BENSON, EUNICE (MN / FNP-C)
Entity type:Individual
Prefix:
First Name:EUNICE
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:MN / FNP-C
Other - Prefix:MRS
Other - First Name:EUNICE
Other - Middle Name:
Other - Last Name:MORENO-ESCOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MN / FNP-C
Mailing Address - Street 1:4200 HOUMA BLVD
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2970
Mailing Address - Country:US
Mailing Address - Phone:504-454-4000
Mailing Address - Fax:504-454-4341
Practice Address - Street 1:4200 HOUMA BLVD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2970
Practice Address - Country:US
Practice Address - Phone:504-454-4000
Practice Address - Fax:504-454-4341
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07965363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily