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Individual
SARAH L BENNETT
Active
Individual
SARAH L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28187343A
IN
363LA2200X
Adult Health Nurse Practitioner
71005135A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71005135A
IN
Other
Enumeration date
07/30/2014
Last updated
05/14/2025
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