NPI | 1326486184 |
---|---|
Former Legal Business Name | WALTER BENNETT DC MSN FNP |
Entity Type | Organization |
Authorized Contact | WALTER C BENNETT Owner 931-251-3009 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16762) |
Enumeration Date | 2013-06-13 |
Last Update Date | 2024-09-26 |