Individual
DEBRA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
73315 HAYSTACK RD, PALM DESERT, CA 92260-6058
(310) 403-7681
Mailing address
42335 WASHINGTON ST STE 151, PALM DESERT, CA 92211-8004
(310) 403-7681
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
644128
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95013936
CA
Other
Enumeration date
10/28/2019
Last updated
01/28/2025
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