Individual
NICOLE S BENZING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-2465
(717) 741-3043
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(304) 934-4433
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C0008546
MD
363AM0700X
Medical Physician Assistant
Primary
MA063808
PA
363AM0700X
Medical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2022
Last updated
12/12/2023
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