MEDICARE: MRS. RUTH HAYES BENVIE CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	127379	MA

General Provider Information

NPI Number	:	1326182312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RUTH HAYES BENVIE CRNA

Provider Business Mailing Address
First Line	:	5 SACHEM ROCK AVE
Second Line	:
City	:	E BRIDGEWATER
State	:	MA
Zip	:	02333-1954
Country	:	US
Telephone Number	:	508-378-1423
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 SUMMER ST
Second Line	:	SUITE 101
City	:	TAUNTON
State	:	MA
Zip	:	02780-3469
Country	:	US
Telephone Number	:	508-824-4874
Fax Number	:	508-823-2990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	07/08/2007

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