Individual
MRS. ELIZABETH ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
7001 ROGERS AVE, FORT SMITH, AR 72903-4073
(479) 785-2229
(479) 478-6745
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 364-4200
(314) 364-6321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
109477
OK
207Q00000X
Family Medicine Physician
Primary
225970
AR
Other
Enumeration date
09/30/2019
Last updated
10/10/2023
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