Individual
SHEILA JO BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1400 FOREST GLEN RD, SUITE 525, SILVER SPRING, MD 20910-1459
(301) 593-8101
(301) 593-1537
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
R129833
MD
367A00000X
Advanced Practice Midwife
Primary
R129833
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
794642200
—
MD
Enumeration date
10/02/2006
Last updated
09/15/2023
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