Individual provider · Type 1 NPI

Heather Bennett, CRNFA

Surgical Physician Assistant · Phoenix, AZ

NPI number 1689649477 Active

Practice location

1850 N Central Ave, Suite 1600
Phoenix, AZ 85004-4527

Fax (602) 445-4079

Mailing address

PO Box 34864
Phoenix, AZ 85067-4864

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XRN049561 (AZ)

Surgical Physician Assistant: Definition to come...

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About NPI 1689649477

Heather Bennett, CRNFA's National Provider Identifier is 1689649477, issued on Feb 23, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 11, 2010.