Stacie Benenhaley, RN
Individual provider Active NPI Addiction (Substance Use Disorder) Registered Nurse · Devon, PA
NPI 1992556997 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1992556997
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse 163WA0400X
- License
- RN642623 (PA)
- Practice address
- 235 W Lancaster Ave
Devon, PA 19333-1560 - Phone
- (484) 551-3366
- NPI assigned
- Mar 28, 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN642623 | PA | MD | Addiction (Substance Use Disorder) Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | RN642623 | PA | Yes |
Addresses
Primary practice location
235 W Lancaster Ave
Devon, PA 19333-1560
Mailing address
709 Wisteria Dr
Newtown Square, PA 19073-3216
Phone (484) 643-3250
Other providers in Devon, PA
- Baby Cue Coaching LLC
- William Frederick Bachinski
- Shelly Bair
- Peter Barron
- Kelly Jo Beltz
- Sharon Bennett
- Martine Marseille Bentley
- Richard H Berman
- Dana Berstein
- Layla Bey
All providers in Devon, PA · Addiction (Substance Use Disorder) Registered Nurse in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 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.