Individual
MRS. SHANNON MARIE BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2550 DELAWARE AVE, BUFFALO, NY 14216-1721
(716) 884-0230
(716) 332-3543
Mailing address
2550 DELAWARE AVE, BUFFALO, NY 14216-1721
(716) 884-0230
(716) 332-3543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F346361-01
NY
Other
Enumeration date
09/30/2020
Last updated
02/10/2022
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