Individual
MS. PAYTON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2400 ARDMORE BLVD STE 800, PITTSBURGH, PA 15221-5238
(412) 304-2030
Mailing address
407 HOLLAND AVE, BRADDOCK, PA 15104-1532
(412) 304-2030
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
677720
PA
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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