Individual provider · Type 1 NPI
Caedora Marylouise Benton, NP, PMHNP, FNP
Psychiatric/Mental Health Nurse Practitioner · Raleigh, NC
NPI number
1427607308
Active
Practice location
2101 Garner Rd
Raleigh, NC 27610-0114
Fax (919) 571-2932
Mailing address
3125 Poplarwood Ct Ste 203
Raleigh, NC 27604-6445
Other practice locations
- 3117 Poplarwood Ct Ste 115, Raleigh, NC 27604-1040 · (919) 787-6131
- 110 N Corcoran St, Durham, NC 27701-5015 · (323) 205-7088
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 264004 (NC) |
| Family Nurse Practitioner | 363LF0000X | 5012193 (NC) |
| Family Nurse Practitioner | 363LF0000X | 0024183725 (VA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5012193 (NC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1427607308
Caedora Marylouise Benton, NP, PMHNP, FNP's National Provider Identifier is 1427607308, issued on Sep 4, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Raleigh, NC. The record was last updated on Apr 8, 2025.