Debra Dawn Bennett, RN
Registered Nurse in Clarksburg, WV. Individual provider (NPI-1).
NPI number1194054486
StatusActive
Last updated in NPPESDec 15, 2009
Details
- NPI
- 1194054486
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Debra Dawn Bennett
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 15, 2009
- Last updated
- Dec 15, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 52372 | WV | Yes |
| 163WE0003X | Registered Nurse, Emergency | 52372 | WV |
Practice location
Rr 1 Box 507Clarksburg, WV 26301-9765
Phone 304-624-4064
Mailing address
Rr 1 Box 507Clarksburg, WV 26301-9765
Phone 304-624-4064
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 26 Registered Nurse providers in Clarksburg · All 1,434 providers in Clarksburg
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