Janna M Bennett, RN 373974
Individual provider Active NPI Registered Nurse · Alturas, CA
NPI 1396436069 · NPPES record last updated May 15, 2023
Key facts
- NPI
- 1396436069
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RM373974 (CA)
- Practice address
- 441 N Main St
Alturas, CA 96101-3457 - Phone
- (530) 233-6312
- NPI assigned
- May 15, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RM373974 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RM373974 | CA | Yes |
Addresses
Primary practice location
441 N Main St
Alturas, CA 96101-3457
Mailing address
441 N Main St
Alturas, CA 96101-3457
Phone (530) 233-6312
Other providers in Alturas, CA
- Roxana Kaye Andrews
- Virginia Baker
- Jonathan Banister
- Leonor Barba Vargas
- Brian Noel Bernard
- Caroline Eileen Blair
- Jamie Leighanne Brazil Harris
- Keith Nicholas Breyer
- Elayna Brown
All providers in Alturas, CA · Registered 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 May 15, 2023. 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.