| NPI | 1306369780 | 
|---|---|
| Doing Business As | BETTY BENNETT | 
| Entity Type | Organization | 
| Authorized Contact | BETTY BENNETT Nurse Practitioner/Ownder 504-259-4218 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP06810) | 
| Enumeration Date | 2017-07-18 | 
| Last Update Date | 2020-04-27 |