| Brooke Davis Benincosa, | |
|
2891 Evergreen Park Dr, Huntsville, UT 84317-9686 | |
| (801) 497-1872 | |
| Not Available |
| Full Name | Brooke Davis Benincosa |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse - General Practice |
| Location | 2891 Evergreen Park Dr, Huntsville, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194440180 | NPI | - | NPPES |
| 8014971872 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WG0000X | Registered Nurse - General Practice | 8145482-3102 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Davis Benincosa, 2891 Evergreen Park Dr, Huntsville, UT 84317-9686 Ph: (801) 497-1872 | Brooke Davis Benincosa, 2891 Evergreen Park Dr, Huntsville, UT 84317-9686 Ph: (801) 497-1872 |
Brenda Whitehead, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8624 E 100 S, Huntsville, UT 84317 Phone: 801-558-0966 | |
Natalie Michelle Brower, BS-RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 6462 Summit Cv, Huntsville, UT 84317 Phone: 435-279-3279 |