Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY TRAVINA BENNETT, RN
Active Sole ProprietorTRACY TRAVINA BENNETT, RN is a Advance Practice Midwife healthcare provider located in ALTA LOMA, California. NPI 1285243444 is currently active in the NPPES registry. Verify at CMS.
Advance Practice Midwife · ALTA LOMA, CA
Registration Details
- NPI Number
- 1285243444
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2020 (6.0985818333213 yrs)
- Last Updated
- Jul 23, 2020
- License
-
511336 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10762 WILSON AVEALTA LOMA, CA, 917372436Browse CA providers · Browse ZIP 91737
- Phone
- 9093222081
- Primary Specialty
-
Advance Practice Midwife
163WA2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.