Individual
CHANTEL BENNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
8282 COUNTRY POINTE CIR, QUEENS VILLAGE, NY 11427-3002
(999) 999-9999
Mailing address
8282 COUNTRY POINTE CIR, QUEENS VILLAGE, NY 11427-3002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F341407-1
NY
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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