Provider Demographics
NPI:1982713970
Name:BENSON, PATRICIA W (RN, MSN, CS, FNP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:W
Last Name:BENSON
Suffix:
Gender:F
Credentials:RN, MSN, CS, FNP
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 936
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23501-0936
Mailing Address - Country:US
Mailing Address - Phone:757-388-3322
Mailing Address - Fax:757-388-4190
Practice Address - Street 1:600 GRESHAM DR
Practice Address - Street 2:5TH FLOOR
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1904
Practice Address - Country:US
Practice Address - Phone:757-388-3322
Practice Address - Fax:757-388-4190
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024052423363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPAROtherMULTIPLAN
VA1982713970Medicaid
NC7003916Medicaid
VA10017051NOtherSENTARA OPTIMA
NC03916OtherBC/BS
VAPAROtherUSA MANAGED CARE
VAPAROtherCORVEL/CORCARE
VA-037OtherTRICARE/CHAMPUS
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherMULTIPLAN
VAPAROtherVIRGINIA PREMIER HEALTH
VA011940E30Medicare PIN