Individual
MRS. HOLLY SUE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., B.S.N.
Contact information
Practice address
2730 E FLOWER ST, PHOENIX, AZ 85016-7461
(928) 925-5917
Mailing address
2730 E FLOWER ST, PHOENIX, AZ 85016-7461
(928) 925-5917
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN147845
AZ
163WR0400X
Rehabilitation Registered Nurse
TLRN035206
PA
Other
Enumeration date
04/06/2011
Last updated
09/06/2024
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