Individual
MICHELLE DENISE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1719 E 19TH AVE, DENVER, CO 80218-1235
(303) 839-7390
Mailing address
4771 WALDENWOOD PL, HIGHLANDS RANCH, CO 80130-8914
(720) 344-8331
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
109672
CO
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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