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Individual

LAURA BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1700 N BROAD ST STE 4, PHILADELPHIA, PA 19121-3429
(215) 204-7500
Mailing address
135 HENFIELD AVE, CHERRY HILL, NJ 08003-1549
(609) 540-7207

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00482500
NJ
363LF0000X
Family Nurse Practitioner
26NJ00482500
NJ
363LF0000X
Family Nurse Practitioner
Primary
SP029186
PA

Other

Enumeration date
02/04/2014
Last updated
03/21/2024
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