Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 003932 | CT |
NPI | 1023261690 |
---|---|
Provider Name | Katherine Lm Bender |
First Address | Old Saybrook, CT 06475-2222 |
Second Address | Westbrook, CT 06498-2171 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 14/04/2021 |