Basic Information
Provider Information
NPI: 1043234974
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BENKO
FirstName: JOYCE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: F-NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3555 LUTHERAN PKWY
Address2: SUITE150
City: WHEAT RIDGE
State: CO
PostalCode: 800336021
CountryCode: US
TelephoneNumber: 3039401867
FaxNumber: 3039401894
Practice Location
Address1: 3555 LUTHERAN PKWY
Address2: SUITE150
City: WHEAT RIDGE
State: CO
PostalCode: 800336021
CountryCode: US
TelephoneNumber: 3039401867
FaxNumber: 3039401894
Other Information
ProviderEnumerationDate: 07/26/2006
LastUpdateDate: 03/30/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X041152494ILN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000X186339COY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

ID Information
IDTypeStateIssuerDescription
1445358405CO MEDICAID
176059638101 NPI - ASSOCIATES IN WOMEN'S HEALTH, PCOTHER


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