IndividualActive
Brooke Benincosa
NPI 1194440180 · General Practice Registered Nurse · Huntsville, UT
Provider details
- NPI number
- 1194440180
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8145482-3102 (UT)
Practice location
2891 Evergreen Park Dr
Huntsville, UT 84317-9686
Phone: (801) 497-1872
Mailing address
2891 Evergreen Park Dr
Huntsville, UT 84317-9686
Registry dates
- Enumerated
- 2022-10-11
- Last updated
- 2022-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.