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NPI Code Detail

MEDICARE: HEATHER BENSON RN

MEDICARE: HEATHER BENSON RN
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
1163W00000XRegistered NurseRN427780OH

General Provider Information

NPI Number : 1649575556
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER BENSON RN
Provider Business Mailing Address
First Line : 110 ROBERTS RD
Second Line :
City : PIKETON
State : OH
Zip : 45661-9543
Country : US
Telephone Number : 740-222-9738
Fax Number :
Provider Business Practice Location Address
First Line : 4977 NORTHCUTT PL
Second Line :
City : DAYTON
State : OH
Zip : 45414-3839
Country : US
Telephone Number : 800-829-5461
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2011
Last Update Date : 05/20/2024

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