Bentley, Susan Warren
Bentley, Susan Warren is an individual health care provider with primary practice located at 2095 Florence Blvd , Florence AL 35630-2751. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bentley, Susan Warren can be contacted via phone (256) 766-2310.Contact Information
Primary practice address
2095 Florence Blvd
Florence AL 35630-2751
Phone: (256) 766-2310
Fax: (256) 768-9956
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1031194 | Alabama |
Profile Details
| NPI number | 1194702969 |
|---|---|
| LBN Legal business name | Bentley, Susan Warren |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Aug 30th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194702969 | NPPES |
| Alabama | MEDICAID | 214361 |
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