SHARON L BENNETT

PATHWAYS OF IDAHO, LLC

Dr SHARON L BENNETT is a female medical professional, specializing in Nurse Practitioner. She graduated in 2013.

Contact

PATHWAYS OF IDAHO, LLC

5583 N GLENWOOD ST
GARDEN CITY
ID
837141336

Tel: 2082872564

SHARON L BENNETT Information

Npi 1598189821
Pac Id 1658594049
Professional Enrollment Id I20140604000901
Last Name BENNETT
First Name SHARON
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PATHWAYS OF IDAHO, LLC
Group Practice Pac Id 4789808759
Number Of Group Practice Members 5
Line 1 Street Address 5583 N GLENWOOD ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City GARDEN CITY
State ID
Zip Code 837141336
Phone Number 2082872564
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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