Provider Demographics
NPI:1073917373
Name:BENJAMIN, RHONDA (RN,MSN)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:
Last Name:BENJAMIN
Suffix:
Gender:F
Credentials:RN,MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 AMRINE-MILL ROAD
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43040
Mailing Address - Country:US
Mailing Address - Phone:937-578-6209
Mailing Address - Fax:937-578-6213
Practice Address - Street 1:800 AMRINE MILL RD
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-1004
Practice Address - Country:US
Practice Address - Phone:937-578-6209
Practice Address - Fax:937-578-6213
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN244579-COA-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool