Individual
CARLI MAE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
135 N UNION ST, OLEAN, NY 14760-2736
(716) 375-7500
Mailing address
PO BOX 933, BRADFORD, PA 16701-4933
(814) 331-8190
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F355412-01
NY
Other
Enumeration date
11/08/2024
Last updated
10/24/2025
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