Individual
ERIN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
15230 LAKESHORE DR STE 103, CLEARLAKE, CA 95422-8107
(707) 995-4545
(707) 995-4543
Mailing address
9320 KELSEY CREEK DR, KELSEYVILLE, CA 95451-8031
(707) 355-0115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95029013
CA
363L00000X
Nurse Practitioner
Primary
9501509
CA
Other
Enumeration date
11/17/2014
Last updated
02/26/2025
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