Individual
NOELLE C BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1215 DUFF AVE, AMES, IA 50010-5400
(515) 239-4480
(515) 239-4716
Mailing address
PO BOX 3014, 1215 DUFF AVENUE, AMES, IA 50010-3014
(515) 956-4100
(515) 956-4108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002209
IA
Other
Enumeration date
07/14/2011
Last updated
12/11/2020
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