Individual
MICHAEL SCOTT BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.N., R.N., C.N.P.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.388869-COA1
OH
363LA2200X
Adult Health Nurse Practitioner
COA.14306-NP
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
COA.14306-NP
OH
Other
Enumeration date
05/02/2013
Last updated
01/15/2021
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