Provider Demographics
NPI:1194876946
Name:BENKESER, KRISTINA (MSN, CRNP)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:
Last Name:BENKESER
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MORROW WAY
Mailing Address - Street 2:SLIPPERY ROCK UNIVERSITY STUDENT HEALTH SERVICES
Mailing Address - City:SLIPPERY ROCK
Mailing Address - State:PA
Mailing Address - Zip Code:16057
Mailing Address - Country:US
Mailing Address - Phone:724-738-4883
Mailing Address - Fax:724-738-2078
Practice Address - Street 1:1 MORROW WAY
Practice Address - Street 2:SLIPPERY ROCK UNIVERSITY STUDENT HEALTH SERVICES
Practice Address - City:SLIPPERY ROCK
Practice Address - State:PA
Practice Address - Zip Code:16057
Practice Address - Country:US
Practice Address - Phone:724-738-4883
Practice Address - Fax:724-738-2078
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001809C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health