Individual
MRS. DEBORAH LEE BENTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGNP
Contact information
Practice address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343
(443) 681-5363
Mailing address
6514 MEADOWRIDGE RD, ELKRIDGE, MD 21075-6115
(443) 681-5363
(888) 783-7111
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN 00655
RI
363LG0600X
Gerontology Nurse Practitioner
APRN 00655
RI
Other
Enumeration date
04/25/2015
Last updated
06/25/2020
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