Individual
COLLEEN CARRAE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
505 E 1100 N, CHESTERTON, IN 46304-9697
(219) 926-3420
Mailing address
401 BARKER RD, MICHIGAN CITY, IN 46360-7425
(219) 299-9240
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71018142A
IN
Other
Enumeration date
05/18/2026
Last updated
05/20/2026
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