Individual
PROF. MARY P BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, ARNP
Contact information
Practice address
1906 COLLEGE HEIGHTS BOLV #11036, WKU SCHOOL OF NURSING ACADEMIC COMPLEX ROOM 113 D, BOWLING GREEN, KY 42101-1036
(270) 745-3590
(270) 745-3392
Mailing address
1906 COLLEGE HEIGHTS BOLV #11036, WKU SCHOOL OF NURSING ACADEMIC COMPLEX ROOM 113 D, BOWLING GREEN, KY 42101-1036
(270) 745-3590
(270) 745-3392
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5351P
KY
363LF0000X
Family Nurse Practitioner
71001945A
IN
Other
Enumeration date
03/08/2006
Last updated
08/02/2010
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