Bennett, Deanna
Bennett, Deanna is an individual health care provider with primary practice located at 71 Us Route 1 Ste A , Scarborough ME 04074-7168. 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, Deanna can be contacted via phone (207) 885-8400.Contact Information
Primary practice address
71 Us Route 1 Ste A
Scarborough ME 04074-7168
Phone: (207) 885-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R048217 | Maine |
Profile Details
| NPI number | 1336175363 |
|---|---|
| LBN Legal business name | Bennett, Deanna |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2006 |
| Last updated | Dec 27th, 2023 - about 3 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336175363 | NPPES |
| Maine | Other | R048217 | STATE LICENSE |
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