Debra Jean Benware, R.N.
Individual provider Active NPI Registered Nurse · Canton, NY
NPI 1932346293 · NPPES record last updated Apr 21, 2015
Key facts
- NPI
- 1932346293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 561932 (NY)
- Practice address
- 80 State Highway 310 Ste 2
Canton, NY 13617-1436 - Phone
- (315) 386-2325
- Fax
- (315) 386-2781
- NPI assigned
- Jan 8, 2009
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 561932 | NY | MD | Registered Nurse |
| 561932-1 | NY | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 561932-1 | NY | |
| Registered Nurse | 163W00000X | 561932 | NY | Yes |
| Home Health Registered Nurse | 163WH0200X | 561932 | NY |
Addresses
Primary practice location
80 State Highway 310 Ste 2
Canton, NY 13617-1436
Mailing address
80 State Highway 310 Ste 2
Canton, NY 13617-1436
Phone (315) 386-2325
Other providers in Canton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2015. 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.