Individual
AMY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 853-2977
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-2977
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95003608
CA
363LF0000X
Family Nurse Practitioner
RN2277295
MA
Other
Enumeration date
07/23/2013
Last updated
05/29/2020
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