Individual
COURTNEY NICOLE BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3005 BLADENSBURG RD NE, WASHINGTON, DC 20018-2265
(202) 672-4640
Mailing address
1504 ALABAMA AVE SE, WASHINGTON, DC 20032-5053
(202) 672-4640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1025545
DC
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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