Provider Demographics
NPI:1952182453
Name:BENZEL, JANNA VIOLET (RN)
Entity Type:Individual
Prefix:
First Name:JANNA
Middle Name:VIOLET
Last Name:BENZEL
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 1:101 W BECK WAY
Mailing Address - Street 2:
Mailing Address - City:WARDEN
Mailing Address - State:WA
Mailing Address - Zip Code:98857-9401
Mailing Address - Country:US
Mailing Address - Phone:509-349-1812
Mailing Address - Fax:509-349-2312
Practice Address - Street 1:101 W BECK WAY
Practice Address - Street 2:
Practice Address - City:WARDEN
Practice Address - State:WA
Practice Address - Zip Code:98857-9401
Practice Address - Country:US
Practice Address - Phone:509-349-1812
Practice Address - Fax:509-349-2312
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60405457163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool