person
Keith Dibenedetto, CRNP
Primary Care Nurse Practitioner in Phoenix, Maryland
NPI 1699259580

Keith Dibenedetto is a Primary Care Nurse Practitioner based in Phoenix, MD and is specialized in Primary Care. Keith Dibenedetto practices in Phoenix, MD and has the professional credentials of CRNP. The NPI Number for Keith Dibenedetto is 1699259580 and holds a License No. R210044 (Maryland).

The current practice location address for Keith Dibenedetto is 2617 Stockton Rd, Phoenix, MD and can be reached out via phone at 561-632-9839.

Location: 2617 Stockton Rd, Phoenix, MD, 21131-1117
person
Provider Profile Details
NPI Number
1699259580
Provider Name
Keith Dibenedetto
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
2617 Stockton Rd, Phoenix, MD, 21131-1117
Phone Number
561-632-9839
Fax Number
Provider Enumeration Date
09/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2617 Stockton Rd
City
State
Zip
21131-1117
Phone Number
561-632-9839
Fax Number
person
Provider Business Mailing Address Details
Address
2617 Stockton Rd
City
State
Zip
21131-1117
Phone Number
561-632-9839
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R210044 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
R210044 (Maryland)
Definition
Definition to come...
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