Provider Demographics
NPI:1366073991
Name:BENTZEN, MONICA RENEE (RN)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:RENEE
Last Name:BENTZEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:RENEE
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:431 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2823
Mailing Address - Country:US
Mailing Address - Phone:409-893-1062
Mailing Address - Fax:
Practice Address - Street 1:431 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2823
Practice Address - Country:US
Practice Address - Phone:409-893-1062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-02
Last Update Date:2020-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN685867367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered