Bennett, Angela Sue

Bennett, Angela Sue is an individual health care provider with primary practice located at 801 E Wheeler Rd , Moses Lake WA 98837-1820. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bennett, Angela Sue can be contacted via phone (509) 765-5606.

Contact Information

Primary practice address
801 E Wheeler Rd Moses Lake WA 98837-1820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP 60262315 Washington

Profile Details

NPI number 1932478641
LBN Legal business name Bennett, Angela Sue
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2011
Last updated May 15th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932478641 NPPES
Washington MEDICAID 2016245

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