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NPI Code Detail

MEDICARE: NANCY BENTON CRNP

MEDICARE: NANCY BENTON CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner30941WV
2363LF0000XFamily Nurse PractitionerAPRN.CNP.03535OH

General Provider Information

NPI Number : 1194722272
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY BENTON CRNP
Provider Business Mailing Address
First Line : PO BOX 4267
Second Line :
City : STEUBENVILLE
State : OH
Zip : 43952-8267
Country : US
Telephone Number : 304-723-6040
Fax Number : 304-723-6039
Provider Business Practice Location Address
First Line : 4000 JOHNSON RD
Second Line :
City : STEUBENVILLE
State : OH
Zip : 43952-2364
Country : US
Telephone Number : 740-264-8067
Fax Number : 740-346-0413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 02/03/2017

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Directions to “ NANCY BENTON CRNP” Practice Location

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