Individual
CAROLINE DAWN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP-CNP
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 510-7037
(580) 510-7038
Mailing address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 510-7037
(580) 510-7038
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
201773
OK
Other
Enumeration date
04/08/2021
Last updated
04/12/2021
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