Individual provider · Type 1 NPI

Elizabeth Emily Bennett, NP

Family Nurse Practitioner · Lodi, CA

NPI number 1699242065 Active

Practice location

975 S Fairmont Ave
Lodi, CA 95240-5118

Mailing address

500 N Fairmont Ave
Lodi, CA 95240-1614

Other practice locations

  • 8110 Timberlake Way, Sacramento, CA 95823-5401 · (916) 689-4111

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X812638 (CA)
Family Nurse Practitioner Primary 363LF0000XNP95010098 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1699242065

Elizabeth Emily Bennett, NP's National Provider Identifier is 1699242065, issued on Oct 24, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lodi, CA. The record was last updated on Jun 20, 2019.