Individual
SUSAN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1265 RAVENSHOE WAY, CHICO, CA 95973-9138
(530) 514-0046
Mailing address
1265 RAVENSHOE WAY, CHICO, CA 95973-9138
(530) 514-0046
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
595900
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000076
CA
Other
Enumeration date
11/04/2013
Last updated
02/11/2022
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