Individual
GILLIAN BENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
320 E NORTH AVE FL 2, PITTSBURGH, PA 15212-4756
(412) 359-3005
(412) 359-3006
Mailing address
320 E NORTH AVE FL 2, PITTSBURGH, PA 15212-4756
(412) 359-3005
(412) 359-3006
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
07/03/2024
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