Bennett, Amy M

Bennett, Amy M is an individual health care provider with primary practice located at 1002 Schneider Dr Ste 104 , Malvern AR 72104-4823. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bennett, Amy M can be contacted via phone (501) 332-7981.

Contact Information

Primary practice address
1002 Schneider Dr Ste 104 Malvern AR 72104-4823
Phone: (501) 332-7981
Fax: (501) 337-9964
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ATP000330 Arkansas

Profile Details

NPI number 1467758904
LBN Legal business name Bennett, Amy M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2011
Last updated Mar 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467758904 NPPES
Arkansas MEDICAID 185941758

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