NPI 1891361283 · live from the CMS NPI Registry
Tanner Robin Bennett, AuD
Audiologist in Moses Lake, WA. National Provider Identifier 1891361283, active.
NPI record
| NPI | 1891361283 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 840 E Hill Ave, Moses Lake, WA 98837 |
| Practice phone | 509-663-8711 |
| Mailing address | 820 N Chelan Ave, Wenatchee, WA 98801 |
| Enumerated | May 27, 2021 |
| Last updated | May 10, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | LD61301322 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.