Individual
MRS. CHRISTINA LYNN BENNETT
Active
Individual
MRS. CHRISTINA LYNN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
72000043A
IN
363LW0102X
Women's Health Nurse Practitioner
72000043A
IN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
72000043A
IN
367A00000X
Advanced Practice Midwife
72000043A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200272370
—
IN
05
—
200531440
—
IN
Enumeration date
09/26/2006
Last updated
03/03/2020
Update your record
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