Provider Demographics
NPI:1215521141
Name:BENSON-DAVIS, CHENA A (CBD)
Entity type:Individual
Prefix:MRS
First Name:CHENA
Middle Name:A
Last Name:BENSON-DAVIS
Suffix:
Gender:F
Credentials:CBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-3924
Mailing Address - Country:US
Mailing Address - Phone:201-873-6119
Mailing Address - Fax:
Practice Address - Street 1:211 1ST ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-3924
Practice Address - Country:US
Practice Address - Phone:201-873-6119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-22
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula