Provider Demographics
NPI:1457137374
Name:BENTZINGER, ADRIANNE NICOLE (RPH)
Entity type:Individual
Prefix:
First Name:ADRIANNE
Middle Name:NICOLE
Last Name:BENTZINGER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:ADRIANNE
Other - Middle Name:NICOLE
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3008 TWANA DR
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-4924
Mailing Address - Country:US
Mailing Address - Phone:309-231-5232
Mailing Address - Fax:
Practice Address - Street 1:4815 MAPLE DR
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327-2099
Practice Address - Country:US
Practice Address - Phone:515-265-6144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA24848183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist