Provider Demographics
NPI:1902160088
Name:BENDER HERMAN, ALENE (MSN, CRNP)
Entity Type:Individual
Prefix:MS
First Name:ALENE
Middle Name:
Last Name:BENDER HERMAN
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 E LANCASTER AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2321
Mailing Address - Country:US
Mailing Address - Phone:610-642-1330
Mailing Address - Fax:610-642-1344
Practice Address - Street 1:233 E LANCASTER AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-2321
Practice Address - Country:US
Practice Address - Phone:610-642-1330
Practice Address - Fax:610-642-1344
Is Sole Proprietor?:No
Enumeration Date:2012-07-03
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP001748G363LW0102X
PATP 001748G163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health