Individual
MS. MICHELE HELEN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 908-4317
(520) 908-4301
Mailing address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 908-4317
(520) 908-4301
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN096718
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
573916
—
AZ
Enumeration date
04/19/2007
Last updated
07/09/2007
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