Bennett, Elizabeth Emily

Bennett, Elizabeth Emily is an individual health care provider with primary practice located at 975 S Fairmont Ave , Lodi CA 95240-5118. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bennett, Elizabeth Emily can be contacted via phone (209) 333-3135.

Contact Information

Primary practice address
975 S Fairmont Ave Lodi CA 95240-5118
Phone: (209) 333-3135
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 812638 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP95010098 California

Profile Details

NPI number 1699242065
LBN Legal business name Bennett, Elizabeth Emily
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2018
Last updated Jun 20th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1699242065 NPPES
California Other NP95010098 CALIFORNIA BOARD OF REGISTERED NURSING

Popular Providers