Nahrain Colleen Benner, SUDCC- II CS 11072 is a
Student In An Organized Health Care Education/training Program based in Ceres, California. Nahrain Colleen Benner is licensed to practice in California (license number ) and her current practice location is
1904 Richland Ave, Ceres, California. She can be reached at her office (for appointments etc.) via phone at
(209) 541-2121.
NPI number for Nahrain Colleen Benner is 1801323936 and her current mailing address is 10100 Trinity Pkwy, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801323936.
Healthcare Provider's Profile
| Full Name | Nahrain Colleen Benner |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1904 Richland Ave, Ceres, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801323936
- Provider Enumeration Date: 05/19/2017
- Last Update Date: 08/28/2025
Medical Identifiers
Medical identifiers for Nahrain Colleen Benner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801323936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nahrain Colleen Benner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nahrain Colleen Benner, SUDCC- II CS 11072
10100 Trinity Pkwy,
Stockton, CA 95219-7238
Ph: (209) 953-3700 | Nahrain Colleen Benner, SUDCC- II CS 11072
1904 Richland Ave,
Ceres, CA 95307-4562
Ph: (209) 541-2121 |
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