BEAUTINE BENBOW CRNP NPI 1508269119

NPI Information

NPI: 1508269119
Provider Name: BEAUTINE BENBOW, CRNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: PIEDMONT REGIONAL COMMUNITY SERVICES BOARD

PECOS Registration: Yes

Address:
8001 STATE RD
MOD II, SUITE 106
PHILADELPHIA, PA
ZIP 19136
Phone: (215) 624-2565
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Beautine Benbow, CRNP is a psychiatric/mental health nurse practitioner in Philadelphia, PA with 10 years of experience. Beautine Benbow, CRNP NPI is 1508269119. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8001 STATE RD
MOD II, SUITE 106
PHILADELPHIA, PA
ZIP 19136-908
Phone: (215) 624-2565

The NPI 1508269119 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2014 and was last updated on 10/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	0024177046	VIRGINIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	SP014229	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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