Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 95000223 | CA |
NPI | 1033531835 |
---|---|
Provider Name | Mrs. Sarah Joy Bender |
First Address | Bakersfield, CA 93312-3271 |
Second Address | Bakersfield, CA 93306-4018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2014 |
Last Update Date | 13/01/2014 |