MARY JANE BENNETT NP-C - NPI 1356467989 - Nurse Practitioner in Phoenix, AZ

Q: What is Mary Bennett's NPI number?

The NPI number for Mary Bennett is 1356467989. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is Mary Bennett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Bennett was last updated on June 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mary Jane Bennett Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY JANE BENNETT NP-C (NPI 1356467989) is an individual family provider in Phoenix, Arizona, licensed in Arizona (A10235) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1356467989

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY JANE BENNETTCredential: NP-C

Location Address2415 E CAMELBACK RD STE 700Phoenix, AZ 85016-4245

Mailing Address2415 E Camelback Rd Ste 700Phoenix, AZ 85016-4245 · (520) 246-3971 · Fax (833) 450-4452

Phone(520) 246-3971

Fax(833) 450-4452

Sole ProprietorNo

Enumeration DateMarch 22, 2007

Last NPPES UpdateJune 5, 20242 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1356467989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · A10235

2415 E CAMELBACK RD STE 700, Phoenix, AZ 85016

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Other Identifiers 1

Other009269Kaiser-commercial Number

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MED CARE HOSPICE INC

Hospice Care, Community Based