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REGINA M BENNETT NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1912995010

Individual Registrant:
 REGINA M BENNETT NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
200 W. HOSPITAL DR.  WHITERIVER, AZ 85941-0860 US
Tel: 928-338-4911  Fax: 928-338-5508

Contact information for business:
PO BOX 860  WHITERIVER, AZ 85941-0860 US
Tel: 928-338-4911  Fax: 928-338-5508

Registration Information:
NPI: 1912995010
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
NY332949
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLARNP1220062
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
GA227601

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
308463900FL05




HEALTH CARE JOBS AZ - Page 1



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