Provider Demographics
NPI:1841409331
Name:BENSON, CARMA D (LPN)
Entity Type:Individual
Prefix:
First Name:CARMA
Middle Name:D
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 1:5205 BELLVIEW DR
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-8879
Mailing Address - Country:US
Mailing Address - Phone:740-454-8555
Mailing Address - Fax:740-452-8555
Practice Address - Street 1:5205 BELLVIEW DR
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-8879
Practice Address - Country:US
Practice Address - Phone:740-454-8555
Practice Address - Fax:740-452-8555
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20-06-0009164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse