Individual provider · Type 1 NPI
Lisa M. Bennett, NP
Pediatric Nurse Practitioner · Kansas City, MO
NPI number
1669882106
Active
Practice location
2401 Gillham, Endocrinology
Kansas City, MO 64108-4619
Fax (816) 855-1919
Mailing address
2401 Gillham Rd., Provider Enrollment
Kansas City, MO 64108-4619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 78393 (KS) |
| Pediatric Nurse Practitioner | 363LP0200X | 5756-33 (WI) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 2017027623 (MO) |
Pediatric Nurse Practitioner: Definition to come...
2 other providers at this address
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- Sarah A. Hastings, APRNPediatric Nurse Practitioner Kansas City, MO NPI 1013715648
- Erin PettusPediatric Nurse Practitioner Kansas City, MO NPI 1013745140
- Michelle L. Roach, CPNPPediatric Nurse Practitioner Kansas City, MO NPI 1013915727
- Donna Wyly, PNPPediatric Nurse Practitioner Kansas City, MO NPI 1013975267
About NPI 1669882106
Lisa M. Bennett, NP's National Provider Identifier is 1669882106, issued on May 6, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kansas City, MO. The record was last updated on Dec 12, 2018.