Individual
ROBIN BANGASSER BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Mailing address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
192350
CO
363LF0000X
Family Nurse Practitioner
Primary
00994165-NP
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0994165
CO
Other
Enumeration date
09/06/2018
Last updated
01/21/2026
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