Tammy Rene Bennett N.P.

NPI 1942220959 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1942220959
Gender Female
Enumeration Date 07/20/2006
Last Updated 01/11/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1525 FAIRFIELD AVE STE 569
OFFICE OF PUBLIC HEALTH
SHREVEPORT LA, 71101-4331, US
Phone (318) 676-7483
Fax (318) 676-7560
Business Location
1525 FAIRFIELD AVE STE 569
OFFICE OF PUBLIC HEALTH
SHREVEPORT LA, 71101-4331, US
Phone (318) 676-7483
Fax (318) 676-7560
Toxanomy
Taxonomy Code 363L00000X
License State Louisiana
License Number RN072119
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According to our database, Tammy Rene Bennett N.P. NPI is 1942220959, taxonomy code is 363L00000X and license number is RN072119, license state is located at Louisiana. Tammy Rene Bennett N.P. physically located at 1525 Fairfield Ave Ste 569, Shreveport LA, 71101-4331. NPI Number Tammy Rene Bennett N.P. has the Individual type.

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1942220959 NPI number is provided on an as is basis without warranty of any kind. 1942220959 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy Rene Bennett N.P. are for informational purposes only.