Individual
MICHELLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 E 200 N, LOGAN, UT 84321-4034
(435) 752-0750
Mailing address
187 W 100 N, CLARKSTON, UT 84305-7722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
12351311-3102
UT
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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