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Individual

DR. CATHERINE A. BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN-BC

Contact information

Practice address
111 SUNNYBROOK CT, SOUTH BEND, IN 46637-3437
(574) 243-3100
(574) 243-3134
Mailing address
501 COMFORT PL, MISHAWAKA, IN 46545-5234
(574) 243-3100
(574) 243-3134

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28138675A
IN
363LF0000X
Family Nurse Practitioner
4704299476
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0357550-22
ANCC
Enumeration date
08/08/2006
Last updated
11/02/2020
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