Provider Demographics
NPI:1093066946
Name:BENGE, JULIE KRISTIN (RN)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:KRISTIN
Last Name:BENGE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:SAMARITAN BEHAVIORAL HEALTH INC
Mailing Address - Street 2:601 EDWIN C MOSES BLVD
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45417-3424
Mailing Address - Country:US
Mailing Address - Phone:937-734-8333
Mailing Address - Fax:937-734-4343
Practice Address - Street 1:SAMIRATAN BEHAVIORAL HEALTH, INC.
Practice Address - Street 2:601 EDWIN C MOSES BLVD
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-3424
Practice Address - Country:US
Practice Address - Phone:937-376-8700
Practice Address - Fax:937-376-8793
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHPN126408164W00000X
OH411865163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No164W00000XNursing Service ProvidersLicensed Practical Nurse