Individual
SUSAN KAY BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
251 N 4TH ST, OAKLAND, MD 21550-1375
(301) 533-4293
(301) 334-8234
Mailing address
251 N 4TH ST, OAKLAND, MD 21550-1375
(301) 533-4293
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R115189
MD
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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