Organization · Type 2 NPI

Ida Wallace Bennett Family Health Corporation

Nurse Practitioner · Deerfield Beach, FL

NPI number 1417085697 Active

Practice location

331 N Deerfield Ave
Deerfield Beach, FL 33441-2028

Fax (954) 422-1726

Mailing address

331 N Deerfield Avenue
Deerfield Beach, FL 33441-2028

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center 261QH0100XNone listed
Nurse Practitioner Primary 363L00000XARNP2155102 (FL)

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 1417085697

Ida Wallace Bennett Family Health Corporation's National Provider Identifier is 1417085697, issued on Mar 1, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Deerfield Beach, FL. The record was last updated on Jul 16, 2013.