Individual
ANNE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1600 NW SOUTH OUTER RD, BLUE SPRINGS, MO 64015-2963
(816) 524-5600
Mailing address
3340 NE AKIN BLVD APT 532, LEES SUMMIT, MO 64064-7896
(573) 353-3097
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2019003831
MO
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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