Individual
SHANNON BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
314 E STATE ST, ITHACA, NY 14850-4318
(888) 991-6772
Mailing address
1233 S GILBERT RD APT 6308, GILBERT, AZ 85296-4902
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-362424
—
Other
Enumeration date
09/11/2025
Last updated
09/11/2025
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