Bengston, Evelyn Susanne

Bengston, Evelyn Susanne is an sole proprietor health care provider with primary practice located at 18743 Nw 234Th St , High Springs FL 32643-0465. 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 (386) 454-0721.

Contact Information

Primary practice address
18743 Nw 234Th St High Springs FL 32643-0465
Phone: (386) 454-0721
Fax: (386) 454-0722
Website:
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Health care specialties

SpecialtyCodeLicense #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 Feb 5th, 2025 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881685758 NPPES
Florida MEDICAID 302076200

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