Bennett, Reneallia
Bennett, Reneallia is an individual health care provider with primary practice located at 3075 N Windsong Dr Ste A , Prescott Valley AZ 86314-1208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Bennett, Reneallia can be contacted via phone (928) 350-8780.Contact Information
Primary practice address
3075 N Windsong Dr Ste A
Prescott Valley AZ 86314-1208
Phone: (928) 350-8780
Fax: (888) 674-1228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 252630 | Arizona |
Profile Details
| NPI number | 1023362886 |
|---|---|
| LBN Legal business name | Bennett, Reneallia |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2012 |
| Last updated | Jun 22nd, 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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