IDA WALLACE BENNETT FAMILY HEALTH CORPORATION - NPI 1417085697 - Nurse Practitioner in Deerfield Beach, FL

Q: What is Ida Wallace Bennett Family Health Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

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About Ida Wallace Bennett Family Health Corporation NPPES

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

IDA WALLACE BENNETT FAMILY HEALTH CORPORATION (NPI 1417085697), doing business as Ida Wallace Bennett Family Corporation, is a healthcare organization registered as a nurse practitioner in Deerfield Beach, Florida and active in the NPI registry since March 2007. The organization lists Pamela V Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1417085697

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameIDA WALLACE BENNETT FAMILY HEALTH CORPORATION

Location Address331 N DEERFIELD AVEDeerfield Beach, FL 33441-2028

Mailing Address331 N Deerfield AvenueDeerfield Beach, FL 33441-2028 · (561) 900-6737 · Fax (954) 422-1726

Phone(561) 900-6737

Fax(954) 422-1726

Organization SubpartNo

Authorized OfficialPamela V JohnsonPresident · (561) 900-6737

Enumeration DateMarch 1, 2007

Last NPPES UpdateJuly 16, 2013

✔ NPI 1417085697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP2155102

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X

331 N DEERFIELD AVE, Deerfield Beach, FL 33441

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Other Names 1

Former Legal Business NameIda Wallace Bennett Family Corporation

Other Identifiers 1

OtherBCBSFLFL · Ptan Ak407

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ida Wallace Bennett Family Health Corporation's NPI number?

The NPI number for Ida Wallace Bennett Family Health Corporation is 1417085697. It was assigned to this organization in the NPPES registry on March 1, 2007. The provider was formerly known as Ida Wallace Bennett Family Corporation.

Where is Ida Wallace Bennett Family Health Corporation located?

Ida Wallace Bennett Family Health Corporation is located at 331 N Deerfield Ave, Deerfield Beach, FL 33441. The listed phone number is (561) 900-6737.

What is Ida Wallace Bennett Family Health Corporation's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Ida Wallace Bennett Family Health Corporation was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.