Individual provider · Type 1 NPI

Michelle L. Bennett, APRN

Family Nurse Practitioner · Rockford, IL

NPI number 1013503630 Active

Practice location

3505 N Bell School Rd
Rockford, IL 61114-6624

Fax (815) 639-9433

Mailing address

PO Box 78866
Milwaukee, WI 53278-8866

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209-022307 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1013503630

Michelle L. Bennett, APRN's National Provider Identifier is 1013503630, issued on Dec 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Apr 19, 2021.