Provider Demographics
NPI:1912251810
Name:BENCE, LINDA J (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:J
Last Name:BENCE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7852 STATE HIGHWAY 56
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:13668-3194
Mailing Address - Country:US
Mailing Address - Phone:315-353-6675
Mailing Address - Fax:
Practice Address - Street 1:7852 STATE HIGHWAY 56
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:NY
Practice Address - Zip Code:13668-3194
Practice Address - Country:US
Practice Address - Phone:315-353-6675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4066601163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01377802Medicaid