Individual
SARA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
510 CAROLINA BAY DR, SUITE 100, WILMINGTON, NC 28403-2041
(910) 338-0795
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009960
NC
Other
Enumeration date
10/12/2017
Last updated
01/24/2023
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