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Individual

PENNY BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, MSN, NNP-BC, FN

Contact information

Practice address
5430 FREDERICKSBURG RD, SUITE 508, SAN ANTONIO, TX 78229-3539
(210) 541-8281
(210) 541-9123
Mailing address
5430 FREDERICKSBURG RD, SUITE 508, SAN ANTONIO, TX 78229-3539
(210) 541-8281
(210) 541-9123

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
105452
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP105453
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
539694
TX

Other

Enumeration date
03/23/2012
Last updated
12/09/2020
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