Healthcare Provider Details

I. General information

NPI: 1396828372
Provider Name (Legal Business Name): ERIC ANTHONY BENSON APRN, FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2006
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 WILMAR AVE STE 2
GRAND ISLAND NE
68803-3559
US

IV. Provider business mailing address

2727 W US HIGHWAY 34
GRAND ISLAND NE
68801-3204
US

V. Phone/Fax

Practice location:
  • Phone: 308-390-0544
  • Fax:
Mailing address:
  • Phone: 308-384-4335
  • Fax: 308-384-1888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number116997
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: