Provider Demographics
NPI:1518754936
Name:BENNETT, ALEXANDREA RANAE (DPM)
Entity type:Individual
Prefix:DR
First Name:ALEXANDREA
Middle Name:RANAE
Last Name:BENNETT
Suffix:
Gender:
Credentials:DPM
Other - Prefix:DR
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:BENNETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:818 SE RICHLAND CIR
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-3649
Mailing Address - Country:US
Mailing Address - Phone:515-664-7415
Mailing Address - Fax:
Practice Address - Street 1:818 SE RICHLAND CIR
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-3649
Practice Address - Country:US
Practice Address - Phone:515-664-7415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program