| Doctor Name: | MINDY S BENNETT |
| NPI Number: | 1326317256 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 52423 |
| Business Practice Address: | One Baker Place Mineral County Board Of Education Keyser, WV - 26726 |
| Business Phone Number: | 3042673595 |
| Business Fax Number: | 3042673599 |
| Mailing Address: | One Baker Place, Mineral County Board Of Education KEYSER |
| State: | WV |
| Postal Code: | 26726 |
| Phone Number: | 3042673595 |
| Fax Number: | 3042673599 |
| NPI Enumeration Date: | 12/21/2011 |
| NPI Last Update Date: | 12/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 52423 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |