Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Tedrell Benson

Individual provider Licensed Vocational Nurse · NPI 1871137695

Andre Tedrell Benson is a Licensed Vocational Nurse in Roseville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1133 Coloma Way Ste C
Roseville, CA 95661-4480
Phone: (916) 774-6647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence VN147890 (CA)

Record details

NPI number1871137695
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 5, 2019
Last updated in NPPESNovember 5, 2019
Mailing address1133 Coloma Way Ste C, Roseville, CA 95661-4480

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