Doctor Name: | JANET C BENTON |
NPI Number: | 1114039161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | |
Business Practice Address: | 403 Purdy St Suite 201 Easton, MD - 216014059 |
Business Phone Number: | 4433513376 |
Business Fax Number: | 4108200697 |
Mailing Address: | 877 Baltimore Annapolis Blvd, Suite 100 SEVERNA PARK |
State: | MD |
Postal Code: | 211464700 |
Phone Number: | 4103849311 |
Fax Number: | 4103849433 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 04/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |