NPI 1316598964

Tina Benson

Practitioner Personal Care Attendant Fort Wayne, IN

Practice location

Address: 2478 Lake Ave, Fort Wayne, IN 46805-5406
Phone: (260) 387-6369
Fax: (260) 387-6370

Registered specialties (4)

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X Licence 19-012089-1 (IN)

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In Home Supportive Care Agency

Agencies Taxonomy 253Z00000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Homemaker

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1316598964
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2019
Record last updated: 7 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.