Individual
GABRIELLE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044
(717) 242-8900
Mailing address
110 ELECTRIC AVE, LEWISTOWN, PA 17044-1325
(717) 248-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP016490
PA
363LA2100X
Acute Care Nurse Practitioner
SP016490
PA
Other
Enumeration date
08/06/2016
Last updated
06/16/2025
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