# MICHAEL SCOTT BENNETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1952746067
- **Gender:** Man
- **Credential:** M.S.N., R.N., C.N.P.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN.388869-COA1 | OH | — |
| 363LA2200X | Adult Health Nurse Practitioner | COA.14306-NP | OH | — |
| 363LG0600X | Gerontology Nurse Practitioner | COA.14306-NP | OH | Yes |

## Other

- **Enumeration date:** 05/02/2013
- **Last updated:** 01/15/2021
