Individual
REBECCA M. BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1911 CHESTER BLVD, REID PLASTIC & RECONSTRUCTIVE SURGERY, RICHMOND, IN 47374-1212
(765) 962-4872
(765) 935-8913
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 962-4872
(765) 935-8913
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006789A
IN
Other
Enumeration date
12/23/2016
Last updated
05/12/2021
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