Bennett, Shannon

Bennett, Shannon is an sole proprietor health care provider with primary practice located at 1325 Sw Oralabor Rd Ste 220 , Ankeny IA 50023-8046. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Bennett, Shannon can be contacted via phone (515) 720-4377.

Contact Information

Primary practice address
1325 Sw Oralabor Rd Ste 220 Ankeny IA 50023-8046
Phone: (515) 720-4377
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A-114718 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A114718 Iowa

Profile Details

NPI number 1992047401
LBN Legal business name Bennett, Shannon
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 22nd, 2013
Last updated Mar 12th, 2023 - about 2 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 1992047401 NPPES
Iowa MEDICAID 1992047401

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