Provider Demographics
NPI:1427949007
Name:BENGSON, CHRISTINE BASCOS (FNP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:BASCOS
Last Name:BENGSON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11604 BABBITT AVE
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344-2405
Mailing Address - Country:US
Mailing Address - Phone:818-441-2459
Mailing Address - Fax:
Practice Address - Street 1:424 CHURCH ST STE 2600
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37219-2379
Practice Address - Country:US
Practice Address - Phone:480-450-3721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034582363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily