Individual
MISS AZLEA VANESSA BENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-FNP
Contact information
Practice address
1425 S OSPREY AVE, SUITE 5, SARASOTA, FL 34239-2938
(941) 554-2149
Mailing address
1010 VIRGINIA DR, SARASOTA, FL 34234-7341
(941) 806-8872
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
731203
TX
Other
Enumeration date
05/12/2011
Last updated
03/20/2013
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