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Individual

MRS. SARAH ELIZABETH BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, AGPCNP-BC

Contact information

Practice address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846
(098) 972-7005
(509) 897-5527
Mailing address
764 BRYANT AVE, WALLA WALLA, WA 99362-9322
(509) 897-2715

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
225522
TN
163W00000X
Registered Nurse
RN61013768
WA
363L00000X
Nurse Practitioner
Primary
IP61031779
WA
363LA2200X
Adult Health Nurse Practitioner
25407
TN
363LA2200X
Adult Health Nurse Practitioner
AP61017579
WA

Other

Enumeration date
01/11/2019
Last updated
02/11/2020
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