Individual
MRS. BETTY A BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN ARNP
Contact information
Practice address
20696 BOND RD NE, STE 110, POULSBO, WA 98370
(360) 697-5500
(360) 697-5522
Mailing address
20696 BOND RD NE, STE 110, POULSBO, WA 98370
(360) 697-5500
(360) 697-5522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30002493
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9641366
—
WA
Enumeration date
08/10/2006
Last updated
03/12/2014
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