Brian William Bennett, CRNA
Nurse Anesthetist, Certified Registered in Saint Peters, MO. Individual provider (NPI-1).
NPI number1275195281
StatusActive
Last updated in NPPESJul 1, 2019
Details
- NPI
- 1275195281
- Entity type
- Individual (NPI-1)
- Name
- Brian William Bennett
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 1, 2019
- Last updated
- Jul 1, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 123139 | MO | Yes |
Practice location
10 Hospital DrSaint Peters, MO 63376-1659
Phone 636-916-9000
Mailing address
78 Gillette Field CloseWeldon Spring, MO 63304-0527
Phone 785-766-4601
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