Johanna Kathleen Bennett
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Portland, ME
NPI 1871378554 · NPPES record last updated Aug 30, 2023
Key facts
- NPI
- 1871378554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 716 Stevens Ave
Portland, ME 04103-2693 - Phone
- (207) 221-4516
- NPI assigned
- Aug 30, 2023
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
716 Stevens Ave
Portland, ME 04103-2693
Mailing address
716 Stevens Ave
Portland, ME 04103-2693
Phone (207) 221-4516
Other providers in Portland, ME
- Caroline Bennett
- Christine A Bennett
- Debra Lyn Bennett
- Deirdre L Bennett
- Jean C Bennett
- Kathleen E Bennett
- Mary Bennett
- Michael Bennett
- Robert Bennett Jr.
- Shannon M. Bennett
All providers in Portland, ME · Student in an Organized Health Care Education/Training Program in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 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.