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Individual

MRS. BRITTNEY BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
600 GRANT ST, GARY, IN 46402-6001
(219) 886-4000
Mailing address
6280 VICTORY AVE, PORTAGE, IN 46368-4530
12193081589

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06170872
IN

Other

Enumeration date
06/19/2017
Last updated
09/23/2019
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