-- KERI LYN BENNETT --
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1750836169- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 515 N 16TH ST, PAYETTE, ID, 836612774
- Phone
- (208) 642-6416
Specialties & Taxonomies
Registered Nurse
Primary License: ID #46146
Registered Nurse
License: OR #201392585RN