SANDRA K BENNETT NP NPI 1063491538

NPI Information

  • NPI: 1063491538
  • Provider Name: SANDRA K BENNETT, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 11001 N BLACK CANYON HWY
    PHOENIX, AZ
    ZIP 85029
  • Phone: (602) 371-2964

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NPI Details

Sandra K Bennett, NP is a family nurse practitioner in Phoenix, AZ. Sandra K Bennett, NP NPI is 1063491538. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11001 N BLACK CANYON HWY
PHOENIX, AZ
ZIP 85029-757
Phone: (602) 371-2964

The enumeration date for this NPI number is 1/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyRN056710ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1101846MEDICARE ID-TYPE UNSPECIFIEDARIZONA
2916124MEDICARE ID-TYPE UNSPECIFIEDARIZONA
3S83626MEDICARE UPINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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