Doctor Name: | MS. DAISY ANN BENNETT |
NPI Number: | 1184752206 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN102613 |
Business Practice Address: | 505 N Kenova Rd South Point, OH - 456809514 |
Business Phone Number: | 7403774048 |
Business Fax Number: | |
Mailing Address: | 299 Millers Dr, WHEELERSBURG |
State: | OH |
Postal Code: | 456948642 |
Phone Number: | 7407760640 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RN102613 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |