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NPI Code Detail

MEDICARE: RHONDA BROOKE BENTLEY FNP

MEDICARE: RHONDA BROOKE BENTLEY FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner13295TN

General Provider Information

NPI Number : 1598935892
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHONDA BROOKE BENTLEY FNP
Provider Business Mailing Address
First Line : 704 SIR ECHO DR
Second Line : UNIT 203
City : KINGSPORT
State : TN
Zip : 37663-2573
Country : US
Telephone Number : 423-863-4888
Fax Number :
Provider Business Practice Location Address
First Line : 3135 PEOPLES ST STE 400
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-4138
Country : US
Telephone Number : 423-854-9200
Fax Number : 423-854-9800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2008
Last Update Date : 02/20/2012

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Directions to “ RHONDA BROOKE BENTLEY FNP” Practice Location

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