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Individual

JANET S. BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-8364

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2671
MN
363LA2200X
Adult Health Nurse Practitioner
R 100211-7
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
372542100
MN
Enumeration date
05/27/2005
Last updated
12/20/2022
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