Doctor Name: | MRS. SUSAN WARREN BENTLEY |
NPI Number: | 1194702969 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | 1-031194 |
Business Practice Address: | 1100 S Jackson Hwy Suite 200 Sheffield, AL - 356605769 |
Business Phone Number: | 2563864488 |
Business Fax Number: | 2563812749 |
Mailing Address: | 1100 S Jackson Hwy, Suite 200 SHEFFIELD |
State: | AL |
Postal Code: | 356605769 |
Phone Number: | 2563864488 |
Fax Number: | 2563812749 |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 1-031194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |