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Mrs. Evelyn Ann O Leary Bennett, RNLCPC
Rehabilitation Registered Nurse in Missoula, Montana
NPI 1043398571

Evelyn Ann O Leary Bennett is a Rehabilitation Registered Nurse based in Missoula, MT and is specialized in Rehabilitation. Evelyn Ann O Leary Bennett practices in Missoula, MT and has the professional credentials of RNLCPC. The NPI Number for Evelyn Ann O Leary Bennett is 1043398571 and holds a License No. 484LCPC (Montana).

The current practice location address for Evelyn Ann O Leary Bennett is 127 N Higgins Ave Rm 206, Missoula, MT and can be reached out via phone at 406-549-2625.

Location: 127 N Higgins Ave Rm 206, Missoula, MT, 59802-4457
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Provider Profile Details
NPI Number
1043398571
Provider Name
Evelyn Ann O Leary Bennett
Credential
RNLCPC
Provider Entity Type
Individual
Gender
Female
Address
127 N Higgins Ave Rm 206, Missoula, MT, 59802-4457
Phone Number
406-549-2625
Fax Number
Provider Enumeration Date
11/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0253657 05 MT
13005657 01 MT MT ST FUND PAYEE
74903 01 MT BCBS
institution
Provider Business Practice Location Address Details
Address
127 N Higgins Ave Rm 206
City
State
Zip
59802-4457
Phone Number
406-549-2625
Fax Number
person
Provider Business Mailing Address Details
Address
127 N Higgins Ave Rm 206
City
State
Zip
59802-4457
Phone Number
406-549-2625
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
09268 (Montana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Rehabilitation
Taxonomy
License No.
484LCPC (Montana)
Definition
Definition to come...
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