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Individual
ELIZABETH ANNE BENNETT-GARGUILO
Active
Individual
ELIZABETH ANNE BENNETT-GARGUILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
258624
AK
163W00000X
Registered Nurse
26NR19772700
NJ
163W00000X
Registered Nurse
735422
NY
363LF0000X
Family Nurse Practitioner
26NJ14892400
NJ
363LF0000X
Family Nurse Practitioner
351663
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
258625
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ14892400
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
407509
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08409538
—
NY
Enumeration date
07/07/2023
Last updated
09/11/2026
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