| Doctor Name: | MS. DEBORAH BENNETT |
| NPI Number: | 1003097205 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHN |
| License Number: | 268922 |
| Business Practice Address: | 1725 W 17th St Santa Ana, CA - 927062316 |
| Business Phone Number: | 7148347763 |
| Business Fax Number: | |
| Mailing Address: | 34461 Calle Portola, CAPISTRANO BEACH |
| State: | CA |
| Postal Code: | 926241055 |
| Phone Number: | 9492482206 |
| Fax Number: | 9492482218 |
| NPI Enumeration Date: | 11/16/2007 |
| NPI Last Update Date: | 11/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 268922 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |