Individual provider · Type 1 NPI
Amy Rose Benenson, MSPAS, PA-C
Medical Physician Assistant · Willimantic, CT
NPI number
1427788009
Active
Practice location
289 Windham Rd
Willimantic, CT 06226-3528
Mailing address
302 Fieldstone
Ledyard, CT 06339-1250
Other practice locations
- 75 Swantown Hill Rd, North Stonington, CT 06359-1022 · (800) 832-1022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | PA01468 (RI) |
| Medical Physician Assistant Primary | 363AM0700X | 5717 (CT) |
Medical Physician Assistant: Definition to come...
11 other providers at this address
- Alyssa Catherine Metzger, LMFTMarriage & Family Therapist Willimantic, CT NPI 1841079597
- Angaline Rosaria Palamara, LPCProfessional Counselor Willimantic, CT NPI 1588240774
- Ariel Cussen, LCSWClinical Social Worker Willimantic, CT NPI 1013498153
- Kassandrah Daniella Banks, LMSWClinical Social Worker Willimantic, CT NPI 1659149250
- Marlene Marie Dolat, APRNPsychiatric/Mental Health Nurse Practitioner Willimantic, CT NPI 1255600326
- Martin Adam Bloch, MDAddiction Medicine (Internal Medicine) Physician Willimantic, CT NPI 1700989670
- Matthew E. Mannarino, LCSWClinical Social Worker Willimantic, CT NPI 1972365070
- Meagen Lee Geer, LCSWClinical Social Worker Willimantic, CT NPI 1114706108
- Samantha Chirunomula Quarless, MDAddiction Medicine (Internal Medicine) Physician Willimantic, CT NPI 1639524119
- Shellina Taylor, APRNPsychiatric/Mental Health Nurse Practitioner Willimantic, CT NPI 1336614817
- Sydney Royer, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Willimantic, CT NPI 1457059958
Other medical physician assistant providers in Willimantic
About NPI 1427788009
Amy Rose Benenson, MSPAS, PA-C's National Provider Identifier is 1427788009, issued on Jun 15, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Willimantic, CT. The record was last updated on Jan 4, 2024.