NPI 1487205993 · live from the CMS NPI Registry
Shirleen Bennett, RN
Registered Nurse, General Practice in Bath, NY. National Provider Identifier 1487205993, active.
NPI record
| NPI | 1487205993 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 76 Veterans Ave, Bath, NY 14810 |
| Practice phone | 585-297-3791 |
| Mailing address | 377 Packwood Rd, Waterloo, NY 13165 |
| Enumerated | September 25, 2019 |
| Last updated | September 25, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | 467644-1 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.