Bennett, Nicole Andrea

Bennett, Nicole Andrea is an individual health care provider with primary practice located at 1430 Olive St Ste 500 , Saint Louis MO 63103-2377. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Bennett, Nicole Andrea can be contacted via phone (314) 206-3700.

Contact Information

Primary practice address
1430 Olive St Ste 500 Saint Louis MO 63103-2377
Phone: (314) 206-3700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 041470020 Illinois
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 2018036588 Missouri

Profile Details

NPI number 1679163372
LBN Legal business name Bennett, Nicole Andrea
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2021
Last updated Jan 26th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679163372 NPPES
Illinois Other 041470020 RN
Illinois Other 2018036588 RN

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