Individual
ELISE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
184 GOOSE LN, KALISPELL, MT 59901-8095
(406) 250-1731
Mailing address
184 GOOSE LN, KALISPELL, MT 59901-8095
(406) 250-1731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
240990
MT
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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