Individual
ELIZABETH BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 TANDBERG TRL, WINDHAM, ME 04062-5206
(207) 893-8359
Mailing address
110 TANDBERG TRL, WINDHAM, ME 04062-5206
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN86681
ME
Other
Enumeration date
09/16/2025
Last updated
10/24/2025
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