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NPI Code Detail

MEDICARE: MELBA BENTON LPN

MEDICARE: MELBA BENTON LPN
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
1164W00000XLicensed Practical Nurse80502NC

General Provider Information

NPI Number : 1740132976
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELBA BENTON LPN
Provider Business Mailing Address
First Line : 622 S MEMORIAL DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-2854
Country : US
Telephone Number : 888-473-0904
Fax Number :
Provider Business Practice Location Address
First Line : 622 S MEMORIAL DR
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-2854
Country : US
Telephone Number : 888-473-0904
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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