Individual
TAMARA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
413 ROOSEVELT AVE, GRANTS, NM 87020
(505) 285-2772
(505) 285-2633
Mailing address
PO BOX 8, GRANTS, NM 87020-0008
(505) 285-2772
(505) 285-2633
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R86652
NM
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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