Marisa R Benson
Health & Wellness Coach in Leesburg, FL. Individual provider (NPI-1).
NPI number1396239786
StatusActive
Last updated in NPPESJan 13, 2022
Details
- NPI
- 1396239786
- Entity type
- Individual (NPI-1)
- Name
- Marisa R Benson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2018
- Certification date
- Jan 13, 2022
- Last updated
- Jan 13, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171400000X | Health & Wellness Coach | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
10144 Silver Bluff DrLeesburg, FL 34788-3670
Phone 352-434-4022
Mailing address
10144 Silver Bluff DrLeesburg, FL 34788-3670
Phone 352-434-4022
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