Individual
MICHELENE BENOIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 E CHELTEN AVE, PHILADELPHIA, PA 19138-3014
(267) 730-7990
(215) 438-8850
Mailing address
2014 E CHELTEN AVE, PHILADELPHIA, PA 19138-3014
(267) 730-7990
(215) 438-8850
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
FL
376K00000X
Nurse's Aide
9301849
PA
376K00000X
Nurse's Aide
Primary
CNA175604
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022302100
—
FL
05
—
1225485931
—
PA
01
—
352526795
NURSE REGISTRY
FL
Enumeration date
05/23/2016
Last updated
12/05/2020
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