Provider Demographics
NPI:1427256734
Name:BENSON, RAE LYNN (APRN)
Entity type:Individual
Prefix:MRS
First Name:RAE
Middle Name:LYNN
Last Name:BENSON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:598 N UNION AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-4179
Mailing Address - Country:US
Mailing Address - Phone:830-627-7979
Mailing Address - Fax:
Practice Address - Street 1:598 N UNION AVE STE 300
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-4179
Practice Address - Country:US
Practice Address - Phone:830-627-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-07
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16493363LF0000X
TXAP117169363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily