Individual
MICHELE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
(330) 253-5248
Mailing address
340 S BROADWAY ST, AKRON, OH 44308-1529
(330) 253-3100
(330) 253-5248
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.02595
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
05
—
2314561
—
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
09/17/2014
Last updated
03/09/2017
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