Individual
MRS. ELIZABETH H. BENNETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
10910 LITTLE PATUXENT PARKWAY, SUITE 100, COLUMBIA, MD 21044
(410) 997-8444
(410) 997-8832
Mailing address
PO BOX 21182, BALTIMORE, MD 21228
(410) 368-8640
(410) 368-8644
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R052302
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90121100
—
MD
01
—
LN9735127102
CAREFIRST
MD
01
—
W6620200
CAREFIRST
DC
Enumeration date
08/02/2005
Last updated
07/08/2007
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