Individual
CRYSTAL LYNN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1012 LOUISA ST, RAYVILLE, LA 71269-2957
(318) 728-2046
(318) 728-6163
Mailing address
1012 LOUISA ST, RAYVILLE, LA 71269-2957
(318) 728-2046
(318) 728-6163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06953
LA
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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