Provider Demographics
NPI:1548416282
Name:BENSON, CHRISTIE RACHELLE (LPN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:RACHELLE
Last Name:BENSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 S SEFFNER AVE
Mailing Address - Street 2:321
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-5410
Mailing Address - Country:US
Mailing Address - Phone:740-751-4743
Mailing Address - Fax:
Practice Address - Street 1:321 S SEFFNER AVE
Practice Address - Street 2:321
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-5410
Practice Address - Country:US
Practice Address - Phone:740-751-4743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 112869164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse