Individual
KATHERINE ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
200 N WOLFE ST, BALTIMORE, MD 21287-0011
(410) 955-5710
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R214860
MD
Other
Enumeration date
08/29/2019
Last updated
07/20/2021
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