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Shanon Bennett, PA-C
NPI 1013979079 · on the registry since 2006
Practice
- Address
- 1731 W Ridgeway Ave Ste 100
Waterloo, IA 50701 - Phone
- (319) 833-5888
- Fax
- (319) 833-5891
- Organisation at this address
- Allen Memorial Hospital
United Medical Park Asc LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Medical Physician Assistant
- Licence states on file
- NC, IA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa