Whalio Doctors

NPI 1285805390

Mary Ellen Bennett, LPN

Practitioner Licensed Practical Nurse Douglas, WY

Practice location

Address
1200 Griffith Way Lot # 6, Douglas, WY 82633-2372
Phone
(307) 389-0984

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence 6611 (WY)

Registry record

NPI
1285805390
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Mar 2008
Record last updated
17 Mar 2008

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.