Individual
CELIA BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
9520 W PALM LN, PHOENIX, AZ 85037-4403
(623) 388-3216
Mailing address
14240 N 22ND ST, PHOENIX, AZ 85022-4603
(480) 430-0178
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
205510
AZ
363LP0200X
Pediatric Nurse Practitioner
Primary
307444
AZ
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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