Provider Demographics
NPI:1255429064
Name:BENCE, CONSTANCE NMN (ARNP)
Entity type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:NMN
Last Name:BENCE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:734 137TH ST NE
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34212-2752
Mailing Address - Country:US
Mailing Address - Phone:041-748-4357
Mailing Address - Fax:727-576-9299
Practice Address - Street 1:710 94TH AVE N
Practice Address - Street 2:SUITE 305
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33702-2452
Practice Address - Country:US
Practice Address - Phone:727-578-2022
Practice Address - Fax:727-576-9299
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 36552363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health