(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003324484
Provider Name: NICOLE BENNETT
Entity Type: Individual
Taxonomy Code: 172V00000X
Specialty: Community Health Worker
License Number:
Most Important Dates
Enumeration Date: 01/18/2018
Last Updated: 01/18/2018
Provider Practice Location
4773 CAUGHLIN PKWY STE 2
RENO
NV
895191012
Practice Location Phone/Fax
Phone: 7756772216
Fax:
Provider Mailing Location
4773 CAUGHLIN PKWY STE 2
RENO
NV
895191012
Provider Mailing Phone/Fax
Phone: 7756772216
Fax: