Individual
CHRISTOPHER BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1101 OPAL CT STE 311, HAGERSTOWN, MD 21740-5943
(240) 384-4679
Mailing address
18348 SPARK DR STE 201-117, HAGERSTOWN, MD 21740-2085
(240) 384-4679
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R204665
MD
Other
Enumeration date
04/20/2010
Last updated
06/13/2025
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