Provider Demographics
NPI:1922277094
Name:BENDINELLI, EMILY ELISABETH (RN BSN)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:ELISABETH
Last Name:BENDINELLI
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N CHERRY
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:AR
Mailing Address - Zip Code:71646
Mailing Address - Country:US
Mailing Address - Phone:870-853-4100
Mailing Address - Fax:870-853-4105
Practice Address - Street 1:101 N CHERRY
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:AR
Practice Address - Zip Code:71646
Practice Address - Country:US
Practice Address - Phone:870-853-4100
Practice Address - Fax:870-853-4105
Is Sole Proprietor?:No
Enumeration Date:2008-02-22
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR73279163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse