NPI 1265211353
Maialisa Bennett
Practice location
- Address
- 2290 Robb St, Idaho Falls, ID 83402-2969
- Phone
- (208) 520-5406
Registered specialties
Attendant Care Provider
Primary
Registry record
- NPI
- 1265211353
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Sep 2023
- Record last updated
- 27 Sep 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.