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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336175363 NPPES
Maine Other R048217 STATE LICENSE

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