Provider Demographics
NPI:1407460843
Name:BENSON, ALEXANDRA PAIGE (PA)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:PAIGE
Last Name:BENSON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:PAIGE
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:2695 HENDERSONVILLE RD # 132
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8576
Mailing Address - Country:US
Mailing Address - Phone:828-694-8436
Mailing Address - Fax:
Practice Address - Street 1:2695 HENDERSONVILLE RD STE 132
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-8576
Practice Address - Country:US
Practice Address - Phone:828-694-8436
Practice Address - Fax:828-694-8437
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-02
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA-938363A00000X
NC0010-13757363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant