Individual
DANIELLE M BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2322 S MAIN ST, FORT SCOTT, KS 66701-3026
(620) 223-8040
(620) 231-5062
Mailing address
PO BOX 1832, PITTSBURG, KS 66762-1832
(620) 231-9873
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
13-105182-011
KS
363LF0000X
Family Nurse Practitioner
Primary
81284
KS
Other
Enumeration date
07/28/2020
Last updated
04/20/2023
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