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Individual

EFFAT BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2633
(202) 660-6500
(202) 660-6501
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-2704

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP500014970
DC
363LA2100X
Acute Care Nurse Practitioner
1059403
TX
363LG0600X
Gerontology Nurse Practitioner
Primary
NP500014970
DC

Other

Enumeration date
01/31/2022
Last updated
08/28/2024
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