Individual provider · Type 1 NPI
Leabeth Bennet, RN
Psychiatric/Mental Health Registered Nurse · Douglas, WY
NPI number
1962649319
Active
Practice location
1841 Madora Ave
Douglas, WY 82633-3057
Fax (307) 358-5329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 21481 (WY) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 21481 (WY) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1962649319
Leabeth Bennet, RN's National Provider Identifier is 1962649319, issued on Jan 7, 2009. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Douglas, WY. The record was last updated on Jan 7, 2009.