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Individual

ANDREW BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010
Mailing address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(206) 762-1010

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60865808
WA
363LG0600X
Gerontology Nurse Practitioner
Primary
AP61200870
WA

Other

Enumeration date
05/31/2021
Last updated
11/04/2022
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