Evelyn Susanne Bengston in Labelle - Family
Evelyn Susanne Bengston - NPI 1881685758
Evelyn Susanne Bengston is a Family in Labelle, Florida. Evelyn Susanne Bengston practices all healthcare services and medical treatments related to Family. The NPI Number for Evelyn Susanne Bengston is 1881685758. The last update date is 2022-02-18.
Evelyn Susanne Bengston's current location address is 870 W Hickpochee Ave, Labelle, Florida. You can contact this provider via phone number 8636750550 and fax number 8636750553. The mailing address for Evelyn Susanne Bengston is 870 W Hickpochee Ave, Labelle, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evelyn Susanne Bengston |
|---|---|
| Address | 870 W Hickpochee Ave, Labelle, Florida |
| Phone Number | 8636750550 |
| Fax Number | 8636750553 |
| Sole Proprietor | Y |
| Credentials | ARNP |
NPI Number Detail
| NPI Number | 1881685758 |
|---|---|
| Provider Enumeration Date | 2005-10-31 |
| Last Updated Date | 2022-02-18 |
Provider Mailing Address Detail
| Address | 870 W Hickpochee Ave |
|---|---|
| City | Labelle |
| State | Florida (FL) |
| Post Code | 339354313 |
| Phone Number | 8636750550 |
| Fax Number | 8636750553 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | ARNP2209102 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 302076200 | FL | -- |
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What is the unique 10-digit identifier code issued to Evelyn Susanne Bengston by the Centers for Medicare & Medicaid Services?
The Evelyn Susanne Bengston has been assigned the NPI (National Provider Identifier) 1881685758 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Evelyn Susanne Bengston is located?
The Evelyn Susanne Bengston is situated at the following address: 870 W Hickpochee Ave, Labelle, FL, 339354313.
What is Evelyn Susanne Bengston's specialized field of practice, and what is the corresponding taxonomy classification code?
The Evelyn Susanne Bengston's area of specialization is Family, and the corresponding taxonomy code that categorizes this field of practice is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1881685758 to Evelyn Susanne Bengston?
The Centers for Medicare & Medicaid Services assigned the 1881685758 to Evelyn Susanne Bengston on 2005-10-31.
When was the information regarding Evelyn Susanne Bengston most recently updated?
The details pertaining to the Evelyn Susanne Bengston, including its address, specialty, and other relevant information, were last refreshed on 2022-02-18.
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