Nicholas Matthew Bennett-Santos, lpn
Licensed Practical Nurse in Columbus, OH. Individual provider (NPI-1).
NPI number1295075596
StatusActive
Last updated in NPPESJul 30, 2024
Details
- NPI
- 1295075596
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Matthew Bennett-Santos
- Credential
- lpn
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2013
- Certification date
- Jul 30, 2024
- Last updated
- Jul 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 152121 | OH | Yes |
Practice location
2076 Wendys DrApt 37
Columbus, OH 43220-2420
Phone 419-420-9416
Mailing address
4914 Reed RdColumbus, OH 43220-3166
Phone 614-218-8055
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