Provider Demographics
NPI:1891374948
Name:BENSON, BRITTANY DALE (BSN, RN, CCRN)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:DALE
Last Name:BENSON
Suffix:
Gender:F
Credentials:BSN, RN, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 190476
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31119-0476
Mailing Address - Country:US
Mailing Address - Phone:713-456-9028
Mailing Address - Fax:
Practice Address - Street 1:1364 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1059
Practice Address - Country:US
Practice Address - Phone:404-712-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN265005163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscienceGroup - Multi-Specialty