Provider Demographics
NPI:1013472273
Name:BENTLEY, REBECCA RAMSAY (FNP-C)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:RAMSAY
Last Name:BENTLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:RAMSAY
Other - Last Name:BENTLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:506 HIGHWAY 37 S
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:TX
Mailing Address - Zip Code:75457-6550
Mailing Address - Country:US
Mailing Address - Phone:903-537-8222
Mailing Address - Fax:
Practice Address - Street 1:506 HIGHWAY 37 S
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:TX
Practice Address - Zip Code:75457-6550
Practice Address - Country:US
Practice Address - Phone:903-537-8222
Practice Address - Fax:903-537-8223
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1018477363L00000X
CA95173046163W00000X
TX782820163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse