Individual
ELIZABETH N BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
125 W SCHOOL HOUSE LN, PHILADELPHIA, PA 19144-3348
(215) 844-8806
Mailing address
185 MANSION RD, NEWTOWN SQUARE, PA 19073-3406
(610) 356-8086
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP0005387H
PA
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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