Individual
ALLISON CREEL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
Mailing address
222 TONGASS DR, SITKA, AK 99835-9416
(907) 966-2411
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
NURR37840
AK
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
NURR37840
AK
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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