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Regina M Bennett, NP
Family Nurse Practitioner in Whiteriver, Arizona
NPI 1912995010

Regina M Bennett is a Family Nurse Practitioner based in Whiteriver, AZ and is specialized in Family. Regina M Bennett practices in Whiteriver, AZ and has the professional credentials of NP. The NPI Number for Regina M Bennett is 1912995010 and holds a License No. 332949 (Arizona).

The current practice location address for Regina M Bennett is 200 W. Hospital Dr., Whiteriver, AZ and can be reached out via phone at 928-338-4911 and via fax at 928-338-5508.

Location: 200 W. Hospital Dr., Whiteriver, AZ, 85941-0860
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912995010
Provider Name
Regina M Bennett
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
200 W. Hospital Dr., Whiteriver, AZ, 85941-0860
Phone Number
928-338-4911
Fax Number
928-338-5508
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
308463900 05 FL
institution
Provider Business Practice Location Address Details
Address
200 W. Hospital Dr.
City
Whiteriver
State
Arizona
Zip
85941-0860
Phone Number
928-338-4911
Fax Number
928-338-5508
person
Provider Business Mailing Address Details
Address
200 W. Hospital Dr.
City
Whiteriver
State
Arizona
Zip
85941-0860
Phone Number
928-338-4911
Fax Number
928-338-5508
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
332949 (New York)
Definition
Definition to come...
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