Bentley, Maureen

Bentley, Maureen is an individual health care provider with primary practice located at 1364 Barkeley Ave Bldg 1150 , Ft. Carson CO 80913. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bentley, Maureen can be contacted via phone (719) 526-4137.

Contact Information

Primary practice address
1364 Barkeley Ave Bldg 1150 Ft. Carson CO 80913
Phone: (719) 526-4137
Fax: (719) 526-2452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP-03222 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CAPN.0002363-C-NP Colorado

Profile Details

NPI number 1932511730
LBN Legal business name Bentley, Maureen
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2014
Last updated Feb 25th, 2021 - about 3 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932511730 NPPES
New Mexico MEDICAID 58709801

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