Individual
DIANE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
4040 S EASTERN AVE STE 300, LAS VEGAS, NV 89119-0854
(917) 603-8415
Mailing address
4040 S EASTERN AVE STE 300, LAS VEGAS, NV 89119-0854
(917) 603-8415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN87305
NV
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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