Provider Demographics
NPI:1114731262
Name:BENSON, VIRGINIA GAYLE
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:GAYLE
Last Name:BENSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2755 JAMIE LN STE 1
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68516-7750
Mailing Address - Country:US
Mailing Address - Phone:402-387-7933
Mailing Address - Fax:402-809-8017
Practice Address - Street 1:2111 BRECKENRIDGE DR
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-5050
Practice Address - Country:US
Practice Address - Phone:531-229-8681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion