Provider Demographics
NPI:1992325906
Name:BENNETT, EMILY NATOSHA (APRN)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:NATOSHA
Last Name:BENNETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1140 BUSINESS CENTER DR STE 202
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-2741
Mailing Address - Country:US
Mailing Address - Phone:713-800-0660
Mailing Address - Fax:713-827-1380
Practice Address - Street 1:1631 NORTH LOOP W STE 410
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1530
Practice Address - Country:US
Practice Address - Phone:713-802-9000
Practice Address - Fax:713-802-2701
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-20
Last Update Date:2022-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP144518363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology