Individual provider · Type 1 NPI

Micah Raven Bennett, FNP

Family Nurse Practitioner · Myrtle Beach, SC

NPI number 1275211823 Active

Practice location

2200 Crow Ln
Myrtle Beach, SC 29577-1663

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X27540 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1275211823

Micah Raven Bennett, FNP's National Provider Identifier is 1275211823, issued on Jul 5, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jul 10, 2023.