| Doctor Name: | MISS SIMONE NATASHA BENTLEY |
| NPI Number: | 1174872469 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 5151 |
| Business Practice Address: | 464 Wolcott Rd Wolcott, CT - 067162626 |
| Business Phone Number: | 2036334560 |
| Business Fax Number: | 2038793566 |
| Mailing Address: | 42 N Mountain Rd, Unit C NEW BRITAIN |
| State: | CT |
| Postal Code: | 060533480 |
| Phone Number: | 8609672723 |
| Fax Number: | |
| NPI Enumeration Date: | 09/03/2012 |
| NPI Last Update Date: | 07/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 5151 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |