Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ethan Bentley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659100329

Ethan Bentley is a Student in an Organized Health Care Education/Training Program in Las Vegas, Nevada. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1001 Shadow Ln
Las Vegas, NV 89106-4124
Phone: (702) 774-2400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1659100329
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 30, 2024
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024
Mailing address1001 Shadow Ln, Las Vegas, NV 89106-4124

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