Individual
SARAH BENNETT
Active
Individual
SARAH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.002869
IL
363LG0600X
Gerontology Nurse Practitioner
Primary
209016726
IL
Other
Enumeration date
04/15/2016
Last updated
12/29/2023
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