Nedalyn Bennett
Individual provider Active NPI Licensed Vocational Nurse · Red Bluff, CA
NPI 1336993104 · NPPES record last updated Apr 16, 2024
Key facts
- NPI
- 1336993104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 726355 (CA)
- Practice address
- 1860 Walnut St BLDG C
Red Bluff, CA 96080-3611 - Phone
- (530) 527-6824
- NPI assigned
- Apr 16, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 726355 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 726355 | CA | Yes |
Addresses
Primary practice location
1860 Walnut St BLDG C
Red Bluff, CA 96080-3611
Mailing address
1860 Walnut St BLDG C
Red Bluff, CA 96080-3611
Other providers in Red Bluff, CA
- Sara Beers
- Metasebia Bekele
- Nicole Lynn Bell
- Bend Physical Therapy
- Christopher Bennett
- Brooke Biechman
- Virginia Biffaretti
- Rachelle Alice Bigard
- Payton William Birch
- Eddie Blanco
All providers in Red Bluff, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.