Provider Demographics
NPI:1487809596
Name:BENTZINGER, DONNA BANKO (RN)
Entity type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:BANKO
Last Name:BENTZINGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1510 VALLEY CENTER PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-2267
Mailing Address - Country:US
Mailing Address - Phone:610-954-2845
Mailing Address - Fax:484-893-7093
Practice Address - Street 1:1510 VALLEY CENTER PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-2267
Practice Address - Country:US
Practice Address - Phone:610-954-2845
Practice Address - Fax:484-893-7093
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN263765L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse