Provider Demographics
NPI:1801127543
Name:BENGSTON, MONICA SUI (ARNP)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:SUI
Last Name:BENGSTON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:SUI
Other - Last Name:BENGSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:8924 ARABELLA LN
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33777-2649
Mailing Address - Country:US
Mailing Address - Phone:850-598-3499
Mailing Address - Fax:
Practice Address - Street 1:15500 ROOSEVELT BLVD STE 101
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33760-3430
Practice Address - Country:US
Practice Address - Phone:727-310-0831
Practice Address - Fax:727-222-5950
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2023-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9175762363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner