Abbey Jo Bentley, MSN, CPNP, PMHNP-BC
Nurse Practitioner, Pediatrics in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1184184632
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1184184632
- Entity type
- Individual (NPI-1)
- Name
- Abbey Jo Bentley
- Credential
- MSN, CPNP, PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2019
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | 10785478-4405 | UT | Yes |
| 208000000X | Pediatrics | 95-4659390 | UT |
Practice location
81 N Mario Capecchi DrSalt Lake City, UT 84113-1125
Phone 801-662-1000
Mailing address
1138 S West TempleSalt Lake City, UT 84101-3119
Other practice locations
50 W Broadway Ste 300
Salt Lake City, UT 84101-2044
Salt Lake City, UT 84101-2044
Phone 800-465-3203
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