Bennett, Laura

Bennett, Laura is an individual health care provider with primary practice located at 607 E Apache St , Farmington NM 87401-6925. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Addiction (Substance Use Disorder). Nursing Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Bennett, Laura can be contacted via phone (505) 326-2012.

Contact Information

Primary practice address
607 E Apache St Farmington NM 87401-6925
Phone: (505) 326-2012
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R31992 New Mexico
Nursing Service Providers / Addiction (Substance Use Disorder) 163WA0400X R31992 New Mexico

Profile Details

NPI number 1932659273
LBN Legal business name Bennett, Laura
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2016
Last updated Oct 11th, 2016 - about 8 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 1932659273 NPPES
New Mexico Other 1265683049 OPTUM

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