Individual
CARISSA ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1717 HARPER RD, BECKLEY, WV 25801-3373
(304) 461-3924
Mailing address
1717 HARPER RD, BECKLEY, WV 25801-3373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN80909-NP-C
WV
Other
Enumeration date
06/21/2016
Last updated
11/01/2024
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