Individual
CHENEL BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
326 E 149TH ST, BRONX, NY 10451-5602
(646) 680-5200
Mailing address
326 E 149TH ST, BRONX, NY 10451-5602
(646) 680-5200
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
689543
NY
363LF0000X
Family Nurse Practitioner
Primary
349532
NY
Other
Enumeration date
02/22/2015
Last updated
08/08/2022
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