Individual
DR. MEREDITH ELYSE BENJAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1040 PARK AVE, BALTIMORE, MD 21201-5633
(443) 783-0300
Mailing address
1040 PARK AVE, BALTIMORE, MD 21201-5633
(443) 783-0300
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R225313
MD
363LA2200X
Adult Health Nurse Practitioner
H117701
IA
363LA2200X
Adult Health Nurse Practitioner
Primary
R225313
MD
363LG0600X
Gerontology Nurse Practitioner
H117701
IA
363LP2300X
Primary Care Nurse Practitioner
H117701
IA
Other
Enumeration date
09/04/2014
Last updated
01/04/2017
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