Provider Demographics
NPI:1992424873
Name:BENSON, RACHEL ERIN (MS, RN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ERIN
Last Name:BENSON
Suffix:
Gender:F
Credentials:MS, RN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 OLD B AND O RD
Mailing Address - Street 2:
Mailing Address - City:SPOTTSWOOD
Mailing Address - State:VA
Mailing Address - Zip Code:24476-2014
Mailing Address - Country:US
Mailing Address - Phone:540-292-9630
Mailing Address - Fax:
Practice Address - Street 1:26317 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803
Practice Address - Country:US
Practice Address - Phone:804-524-7000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001250001163W00000X
VA0024184752363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse