-- LISA RENEE BENNETT -- FNP, BC
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1023437886- Provider Type
- Individual Provider (NPI-1)
- Credentials
- FNP, BC
- Status
- Active
Contact & Location
- Address
- 1095 LIBERTY ST NE, SALEM, OR, 973011137
- Phone
- (503) 581-6550
- Fax
- (503) 581-4755
Specialties & Taxonomies
Nurse Practitioner, Family
Primary License: OR #201607001NP-PP