Provider Demographics
NPI:1992040380
Name:MURRAY- BENN, SARIA CAROLYN
Entity Type:Individual
Prefix:
First Name:SARIA
Middle Name:CAROLYN
Last Name:MURRAY- BENN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 CLINTWOOD DR
Mailing Address - Street 2:APT F
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14620-3509
Mailing Address - Country:US
Mailing Address - Phone:585-615-9291
Mailing Address - Fax:
Practice Address - Street 1:9 CLINTWOOD DR
Practice Address - Street 2:APT F
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14620-3509
Practice Address - Country:US
Practice Address - Phone:585-615-9291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306010164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse