Individual
LEAH BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 W IRONWOOD DR STE 378, COEUR D ALENE, ID 83814-4401
(208) 625-3555
(208) 765-1494
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-3555
(208) 765-1494
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP-1719A
ID
363LF0000X
Family Nurse Practitioner
Primary
NP1719A
ID
Other
Enumeration date
03/14/2016
Last updated
07/22/2025
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