person
Ebonique T Bennett, NP
Adult Health Nurse Practitioner in Waldorf, Maryland
NPI 1972871523

Ebonique T Bennett is an Adult Health Nurse Practitioner based in Waldorf, MD and is specialized in Adult Health. Ebonique T Bennett practices in Waldorf, MD and has the professional credentials of NP. The NPI Number for Ebonique T Bennett is 1972871523 and holds a License No. 305905 (Maryland).

The current practice location address for Ebonique T Bennett is 10 Saint Patricks Dr, Waldorf, MD and can be reached out via phone at 301-373-7900 and via fax at 301-373-6900. You can also correspond with Ebonique T Bennett through the mailing address at 10 SAINT PATRICKS DR, WALDORF, MD - 20603-4527 (mailing address contact number: 301-373-7900).

Location: 10 Saint Patricks Dr, Waldorf, MD, 20603-4527
person
Provider Profile Details
NPI Number
1972871523
Provider Name
Ebonique T Bennett
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
10 Saint Patricks Dr, Waldorf, MD, 20603-4527
Phone Number
301-373-7900
Fax Number
301-373-6900
Provider Enumeration Date
12/11/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
840027000 05 MD
institution
Provider Business Practice Location Address Details
Address
10 Saint Patricks Dr
City
State
Zip
20603-4527
Phone Number
301-373-7900
Fax Number
301-373-6900
person
Provider Business Mailing Address Details
Address
10 Saint Patricks Dr
City
State
Zip
20603-4527
Phone Number
301-373-7900
Fax Number
301-373-6900
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
305905 (New York)
Definition
Definition to come...
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