National Provider Identifier Database

ANGELICA M BENNETT, APRN – NPI #1366399792
Family


Contact Information

ANGELICA M BENNETT, APRN
2024 DORSETT VLG
MARYLAND HEIGHTS, MO63043-2208
Phone: 314-590-0550
Fax:
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for ANGELICA M BENNETT

NPI Number 1366399792
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 03/13/2026
Last updated 03/13/2026 - About 3 months ago
Sole proprietor1 Yes
Identifiers
  • MO License #: 2025094190
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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