National Provider Identifier

Shannon Bentham, NP

Shannon Bentham, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 723-7541.

NPI 1114430162Rochester, NYFamily Nurse Practitioner

Profile Overview

NPI
1114430162
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
November 13, 2017
Last Updated
January 18, 2023

Practice Location

  • 1555 Long Pond RD
  • Rochester, NY 14626-4122

Phone: (585) 723-7541

Specialties

  • Family Nurse Practitioner (363LF0000X)

Endpoints

  • swhite226410@direct.rochesterregional.org

    Direct Messaging Address | Rochester, NY 14626

Full Record
NPI
1114430162
Entity Type
Individual
Last Name
Bentham
First Name
Shannon
Credential
NP
Provider Other Last Name
White
Provider Other First Name
Shannon
Provider Other Last Name Type Code
1
Mailing Street Address
1555 Long Pond RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4122
Mailing Country
US
Mailing Phone
(585) 723-7541
Practice Street Address
1555 Long Pond RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4122
Practice Country
US
Practice Phone
(585) 723-7541
Enumeration Date
November 13, 2017
Last Updated
January 18, 2023
Sex
Female
Sole Proprietor
No
Certification Date
January 18, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)