| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CARLI MAE BENNETT | 1649094541 | 2024-11-10 |
Carli Mae Bennett is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649094541. Registration indicates Carli Mae Bennett is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Carli Mae Bennett FNP |
| Practice Office Address | 135 N UNION ST OLEAN, NY US |
| Practice Office Telephone | 7163757500 |
| Mailing Address | PO BOX 933 BRADFORD, PA 167014933 US |
| Business Telephone | 8143318190 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | F355412-01
NY |