Individual
MRS. ALLISON BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
623 AVENUE C, BEAVER, OK 73932-3126
(580) 625-2273
(580) 625-2274
Mailing address
623 AVENUE C, BEAVER, OK 73932-3126
(580) 625-2273
(580) 625-2274
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ROO71654
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000161899
BCBS KS
KS
Enumeration date
03/23/2007
Last updated
02/24/2016
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