Individual provider · Type 1 NPI
Tracy Travina Bennett, RN
Administrator Registered Nurse · Alta Loma, CA
NPI number
1285243444
Active
Practice location
10762 Wilson Ave
Alta Loma, CA 91737-2436
Mailing address
140 Harvard Ave Unit 1736
Claremont, CA 91711-7180
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 511336 (CA) |
Administrator Registered Nurse: Definition to come...
About NPI 1285243444
Tracy Travina Bennett, RN's National Provider Identifier is 1285243444, issued on Jul 23, 2020. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Alta Loma, CA. The record was last updated on Jul 23, 2020.