Provider Demographics
NPI:1043483530
Name:BENEFIEL, JOYCE MARLENE (RN)
Entity type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:MARLENE
Last Name:BENEFIEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JOYCE
Other - Middle Name:MARLENE
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6996 SKUNK ALY
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-6822
Mailing Address - Country:US
Mailing Address - Phone:303-679-1229
Mailing Address - Fax:
Practice Address - Street 1:6996 SKUNK ALY
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-6822
Practice Address - Country:US
Practice Address - Phone:303-679-1229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO107554163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse