Individual provider · Type 1 NPI

Beautine Benbow, CRNP

Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA

NPI number 1508269119 Active

Practice location

8001 State Rd, Mod II, Suite 106
Philadelphia, PA 19136-2908

Mailing address

825 Solly Ave Fl 2
Philadelphia, PA 19111-1923

Other practice locations

  • 143 Industrial Pkwy, Clarksville, VA 23927-3140 · (434) 572-6916
  • 22280 Jeb Stuart Hwy, Stuart, VA 24171-2999 · (276) 694-4361

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X0024177046 (VA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XSP014229 (PA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1508269119

Beautine Benbow, CRNP's National Provider Identifier is 1508269119, issued on Sep 28, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 23, 2019.