Heather L Bennett, RN

Individual provider Active NPI Registered Nurse · Niagara Falls, NY

NPI 1760152078 · NPPES record last updated Sep 17, 2021

Key facts

NPI
1760152078
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
670571-01 (NY)
Practice address
2470 Allen Ave
Niagara Falls, NY 14303-1908
Phone
(716) 285-3421
NPI assigned
Sep 17, 2021
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

LicenseStateTypeSpecialty
670571-01NYMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 670571-01 NY Yes

Addresses

Primary practice location

2470 Allen Ave
Niagara Falls, NY 14303-1908

Mailing address

717 86TH St
Niagara Falls, NY 14304-3409
Phone (716) 622-7250

Other providers in Niagara Falls, NY

All providers in Niagara Falls, NY · Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.