Provider Demographics
NPI:1285903815
Name:DAVIS-BENWARE, RONALYNN SUE (RN)
Entity type:Individual
Prefix:MRS
First Name:RONALYNN
Middle Name:SUE
Last Name:DAVIS-BENWARE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 WISNER AVE
Mailing Address - Street 2:SPECIAL SERVICES
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-3238
Mailing Address - Country:US
Mailing Address - Phone:845-326-1557
Mailing Address - Fax:
Practice Address - Street 1:223 WISNER AVE
Practice Address - Street 2:SPECIAL SERVICES
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-3238
Practice Address - Country:US
Practice Address - Phone:845-326-1557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-28
Last Update Date:2016-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY677404163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool