Individual
MS. KATRINA K BENTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, CNS, NP-C
Contact information
Practice address
365 CENTER ROAD, GRANGEVILLE, ID 83530-1917
(208) 983-5535
(208) 983-5575
Mailing address
PO BOX 145, GRANGEVILLE, ID 83530-0145
(208) 983-5535
(208) 983-5575
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-527A
ID
Other
Enumeration date
12/29/2005
Last updated
07/09/2007
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