Doctor Name: | KRISTINA BENKESER |
NPI Number: | 1194876946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, CRNP |
License Number: | VP001809C |
Business Practice Address: | 1 Morrow Way Slippery Rock University Student Health Services Slippery Rock, PA - 16057 |
Business Phone Number: | 7247384883 |
Business Fax Number: | 7247382078 |
Mailing Address: | 1 Morrow Way, Slippery Rock University Student Health Services SLIPPERY ROCK |
State: | PA |
Postal Code: | 16057 |
Phone Number: | 7247384883 |
Fax Number: | 7247382078 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 10/02/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | VP001809C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |