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Individual

MRS. STEPHANIE J BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
295 SOUTH COLLEGE AVE. SUITE 1, COLLEGE PLACE, WA 99324
(509) 382-8349
(509) 593-4342
Mailing address
1012 SOUTH THIRD STREET, DAYTON, WA 99328
(503) 413-3900

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP30005581
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30005581
WA

Other

Enumeration date
08/31/2005
Last updated
10/17/2022
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