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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1194702969 NPPES
Alabama MEDICAID 214361

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