Bengston, Evelyn Susanne
Bengston, Evelyn Susanne is an sole proprietor health care provider with primary practice located at 25652 Nw 176Th Ln , High Springs FL 32643-2452. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bengston, Evelyn Susanne can be contacted via phone (863) 885-9216.Contact Information
Primary practice address
25652 Nw 176Th Ln
High Springs FL 32643-2452
Phone: (863) 885-9216
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP2209102 | Florida |
Profile Details
| NPI number | 1881685758 |
|---|---|
| LBN Legal business name | Bengston, Evelyn Susanne |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Apr 19th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881685758 | NPPES |
| Florida | MEDICAID | 302076200 |
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