Healthcare Provider Details

I. General information

NPI: 1821684705
Provider Name (Legal Business Name): OLIVIA NICHOLLE BENZING APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 E STATE ST STE 150
COLUMBUS OH
43215-4322
US

IV. Provider business mailing address

9500 EUCLID AVE
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-2370
  • Fax:
Mailing address:
  • Phone: 859-957-3714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0034064
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: