Bennett, Maialisa

Bennett, Maialisa is an individual health care provider with primary practice located at 2290 Robb St , Idaho Falls ID 83402-2969. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Bennett, Maialisa can be contacted via phone (208) 520-5406.

Contact Information

Primary practice address
2290 Robb St Idaho Falls ID 83402-2969
Phone: (208) 520-5406
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1265211353
LBN Legal business name Bennett, Maialisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2023
Last updated Sep 27th, 2023 - about last year

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

Popular Providers