Provider Demographics
NPI:1841634193
Name:BENSON, NANCY M (CPNP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:M
Last Name:BENSON
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:M
Other - Last Name:LECZNAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6359 BEVERLY DR
Mailing Address - Street 2:
Mailing Address - City:PARMA HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-2913
Mailing Address - Country:US
Mailing Address - Phone:440-884-0605
Mailing Address - Fax:216-636-5859
Practice Address - Street 1:6359 BEVERLY DR
Practice Address - Street 2:
Practice Address - City:PARMA HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-2913
Practice Address - Country:US
Practice Address - Phone:440-884-0605
Practice Address - Fax:216-636-5859
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.14218-NP363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics