Healthcare Provider Details

I. General information

NPI: 1245553650
Provider Name (Legal Business Name): HOLLY E BENSEL WALTERS N.C.,C.R.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2010
Last Update Date: 03/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 LITITZ PIKE
NEFFSVILLE PA
17601-3722
US

IV. Provider business mailing address

5 MARTIN CIR
DENVER PA
17517-9414
US

V. Phone/Fax

Practice location:
  • Phone: 717-201-7616
  • Fax:
Mailing address:
  • Phone: 717-201-7616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: