Individual
RHONDA K BENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4005 HIGH RESORT BLVD SE, PMG HIGH RESORT 4005, RIO RANCHO, NM 87124-5906
(505) 462-6000
(505) 462-6006
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R17548
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29877881
—
NM
Enumeration date
10/03/2006
Last updated
07/08/2007
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