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Individual

CHANTA BENJAMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN, RN

Contact information

Practice address
23 THOROUGHBRED DR, HAMPTON, VA 23666-5320
(757) 344-9789
Mailing address
23 THOROUGHBRED DR, HAMPTON, VA 23666-5320

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001271735
VA
163WA2000X
Administrator Registered Nurse
0001271735
VA
163WC1600X
Continuing Education/Staff Development Registered Nurse
0001271735
VA
163WG0600X
Gerontology Registered Nurse
0001271735
VA
174H00000X
Health Educator

Other

Enumeration date
04/07/2025
Last updated
04/07/2025
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