Healthcare Provider Details

I. General information

NPI: 1932511730
Provider Name (Legal Business Name): MAUREEN BENTLEY PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6566 N MARKSHEFFEL RD
COLORADO SPRINGS CO
80923-4252
US

IV. Provider business mailing address

6566 N MARKSHEFFEL RD
COLORADO SPRINGS CO
80923-4252
US

V. Phone/Fax

Practice location:
  • Phone: 719-297-7646
  • Fax: 719-419-7953
Mailing address:
  • Phone: 719-297-7646
  • Fax: 719-419-7953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.0996362-NP
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberCNP-03222
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: