Provider Demographics
NPI:1669236527
Name:BENNETT, BRITTANI N (APRN)
Entity type:Individual
Prefix:
First Name:BRITTANI
Middle Name:N
Last Name:BENNETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:TRIBUNE
Mailing Address - State:KS
Mailing Address - Zip Code:67879-0338
Mailing Address - Country:US
Mailing Address - Phone:620-376-4221
Mailing Address - Fax:
Practice Address - Street 1:321 E HARPER ST
Practice Address - Street 2:
Practice Address - City:TRIBUNE
Practice Address - State:KS
Practice Address - Zip Code:67879-7708
Practice Address - Country:US
Practice Address - Phone:620-376-4251
Practice Address - Fax:620-376-2800
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS5382874011363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner