Doctor Name: | NANCY BENTON |
NPI Number: | 1194722272 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 30941 |
Business Practice Address: | 148 Main St Wintersville, OH - 439533734 |
Business Phone Number: | 7403462702 |
Business Fax Number: | 7403462645 |
Mailing Address: | Po Box 4267, STEUBENVILLE |
State: | OH |
Postal Code: | 439528267 |
Phone Number: | 3047236040 |
Fax Number: | 3047236039 |
NPI Enumeration Date: | 07/05/2005 |
NPI Last Update Date: | 06/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 30941 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |