NPI | 1538846027 |
---|---|
Professional Name | DAMON BENNETT |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R235159) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R235159) |
Enumeration Date | 2023-06-28 |
Last Update Date | 2023-11-18 |