NPI 1730712696 · live from the CMS NPI Registry
Michael G Benton, CRNP
Nurse Practitioner, Family in Manchester, PA. National Provider Identifier 1730712696, active.
NPI record
| NPI | 1730712696 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 235 Rosedale Dr, Manchester, PA 17345 |
| Practice phone | 717-812-5229 |
| Mailing address | 601 Memory Ln, York, PA 17402 |
| Enumerated | February 19, 2020 |
| Last updated | December 19, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice | 163WG0000X | RN707178 (PA) |
| Nurse Practitioner, Family primary | 363LF0000X | SP021581 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.