Organization · Type 2 NPI

Bennett Supply and Services LLC

Nurse Practitioner · Wichita, KS

NPI number 1295595106 Active

Practice location

245 N Waco St Ste 220
Wichita, KS 67202-1102

Fax (833) 464-2530

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295595106

Bennett Supply and Services LLC's National Provider Identifier is 1295595106, issued on Mar 19, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wichita, KS. The record was last updated on Feb 10, 2025.