Louise Bentford, R. N.

Individual provider Active NPI Registered Nurse · Washington, NC

NPI 1124332366 · NPPES record last updated Jul 13, 2015

Key facts

NPI
1124332366
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
220180 (NC)
Practice address
603 Mac Nair St
Washington, NC 27889-4517
Phone
(415) 271-3177
NPI assigned
Jul 29, 2010
Reactivated
Jul 13, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
220180NCMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 220180 NC Yes

Addresses

Primary practice location

603 Mac Nair St
Washington, NC 27889-4517

Mailing address

603 Mac Nair St
Washington, NC 27889-4517
Phone (415) 271-3177

Other providers in Washington, NC

All providers in Washington, NC · Registered Nurse in North Carolina

Sources for this page

Verify at the official NPI Registry.