Reneallia Bennett
Nurse Practitioner - Primary Care
3075 N Windsong Dr Ste A
Prescott Valley
, Arizona 86314-1208
Reneallia Bennett
Nurse Practitioner - Primary Care
3075 N Windsong Dr Ste A
Prescott Valley
, Arizona 86314-1208
(928) 283-2677
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Reneallia Bennett
- P.o. Box 600
- Tuba City, AZ
- Zip : 86045-0600
- Fax : (928) 283-2677
- Phone : (928) 283-2501
Second Address
- Reneallia Bennett
- 3075 N Windsong Dr Ste A
- Prescott Valley, AZ
- Zip : 86314-1208
- Fax : (888) 674-1228
- Phone : (928) 350-8780
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 252630 | AZ |
National Provider Identifier
| NPI | 1023362886 |
|---|---|
| Provider Name | Reneallia Bennett |
| First Address | Tuba City, AZ 86045-0600 |
| Second Address | Prescott Valley, AZ 86314-1208 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/11/2012 |
| Last Update Date | 22/06/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.