National Provider Identifier
Shannon Marie Bentley, FNP-BC
Shannon Marie Bentley, FNP-BC is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 884-0230.
Profile Overview
- NPI
- 1104433499
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- September 30, 2020
- Last Updated
- February 10, 2022
Practice Location
- 2550 Delaware Ave
- Buffalo, NY 14216-1721
Phone: (716) 884-0230
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1104433499
- Entity Type
- Individual
- Last Name
- Bentley
- First Name
- Shannon
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- FNP-BC
- Provider Other Last Name
- Hurst
- Provider Other First Name
- Shannon
- Provider Other Middle Name
- Marie
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2550 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-1721
- Mailing Country
- US
- Mailing Phone
- (716) 884-0230
- Mailing Fax
- (716) 332-3543
- Practice Street Address
- 2550 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14216-1721
- Practice Country
- US
- Practice Phone
- (716) 884-0230
- Practice Fax
- (716) 332-3543
- Enumeration Date
- September 30, 2020
- Last Updated
- February 10, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 10, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)