Individual
MRS. BRENDA BENNETT-VACHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
153 WOODBURY RD, AUBURN, ME 04210-8136
(207) 784-4301
Mailing address
153 WOODBURY RD, AUBURN, ME 04210-8136
(207) 784-4301
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP081162
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP81162
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
424300099
—
ME
Enumeration date
01/08/2007
Last updated
12/03/2020
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