Individual
NICOLE BENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2000 MEDICAL PKWY STE 510, ANNAPOLIS, MD 21401-3747
(410) 897-0822
Mailing address
7 SONORA DR, PASADENA, MD 21122-5513
(240) 222-2481
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R228496
MD
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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