Nicole Benson, LPN
Individual provider Active NPI Licensed Practical Nurse · Fairlawn, OH
NPI 1306690219 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1306690219
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 180156 (OH)
- Practice address
- 209 Kenridge Rd Apt 2
Fairlawn, OH 44333-3464 - Phone
- (440) 226-6082
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180156 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 180156 | OH | Yes |
Addresses
Primary practice location
209 Kenridge Rd Apt 2
Fairlawn, OH 44333-3464
Mailing address
209 Kenridge Rd Apt 2
Fairlawn, OH 44333-3464
Other providers in Fairlawn, OH
- Belleober Inc
- Joseph J. Bendo
- Cortney Beth Bennett
- Deborah Bennett
- Arthur S Benson
- Brittney Benton
- Raymond P Bermea
- Amber Renee Berry
- Bes of Ohio LLC Dba Medgroup
- Bes of Ohio, LLC
All providers in Fairlawn, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.