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EVELYN SUSANNE BENGSTON ARNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1881685758

Individual Registrant:
 EVELYN SUSANNE BENGSTON ARNP
Gender: F
Sole Proprietor

Location and contact information for practice:
870 W HICKPOCHEE AVE SUITE 1700 LABELLE, FL 33935-4313 US
Tel: 863-675-0550  Fax: 863-675-0553

Contact information for business:
870 W HICKPOCHEE AVE SUITE 1700 LABELLE, FL 33935-4313 US
Tel: 863-675-0550  Fax: 863-675-0553

Registration Information:
NPI: 1881685758
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLARNP2209102

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
302076200FL05




HEALTH CARE JOBS FL - Page 1



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