Individual
RANDI NICHOLE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1027 MEMORIAL DR, OAKLAND, MD 21550-4343
(301) 533-3300
(833) 448-0361
Mailing address
3229 PYSELL CROSSCUT RD, OAKLAND, MD 21550-4822
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R190761
MD
Other
Enumeration date
11/09/2022
Last updated
08/05/2024
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