Individual
GILLIAN BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12311 PERRY HWY FL 3, WEXFORD, PA 15090-8344
(878) 332-4399
(878) 332-4128
Mailing address
12311 PERRY HWY FL 3, WEXFORD, PA 15090-8344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN589391
PA
363LF0000X
Family Nurse Practitioner
Primary
SP027765
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104284129
—
PA
01
—
16105521
CAQH
—
Enumeration date
09/22/2023
Last updated
08/11/2026
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