Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | COA.04201-NP | OH |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | RN187201 | OH |
NPI | 1437162872 |
---|---|
Provider Name | Cathy Benninger |
First Address | Columbus, OH 43215-4701 |
Second Address | Columbus, OH 43215-4701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 25/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2646659 | (05) | OH |