Ciara Bentley
Individual provider Active NPI Contractor · Norfolk, VA
NPI 1710692637 · NPPES record last updated Jan 16, 2023
Key facts
- NPI
- 1710692637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 7468 Fenner St Apt B3
Norfolk, VA 23505-3875 - Phone
- (757) 401-8236
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | Yes |
Addresses
Primary practice location
7468 Fenner St Apt B3
Norfolk, VA 23505-3875
Mailing address
7468 Fenner St Apt B3
Norfolk, VA 23505-3875
Phone (757) 401-8236
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.