NPI 1578287751 · live from the CMS NPI Registry
Averi Taylor Bennett, PA-C
Physician Assistant in Oklahoma City, OK. National Provider Identifier 1578287751, active.
NPI record
| NPI | 1578287751 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 825 Ne 10th St # 5b, Oklahoma City, OK 73104 |
| Practice phone | 405-271-3635 |
| Enumerated | September 30, 2022 |
| Last updated | April 14, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 4860 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.