Provider Demographics
NPI:1063606622
Name:BENVIN, HANNAH (HS)
Entity type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:
Last Name:BENVIN
Suffix:
Gender:F
Credentials:HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1334 N DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:MULVANE
Mailing Address - State:KS
Mailing Address - Zip Code:67110-8033
Mailing Address - Country:US
Mailing Address - Phone:316-655-6519
Mailing Address - Fax:
Practice Address - Street 1:1334 N DAVIS DR
Practice Address - Street 2:
Practice Address - City:MULVANE
Practice Address - State:KS
Practice Address - Zip Code:67110-8033
Practice Address - Country:US
Practice Address - Phone:316-655-6519
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other