Individual
VELVA C BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9993
(804) 734-9312
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9993
(804) 734-9312
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
0024165890
VA
363L00000X
Nurse Practitioner
Primary
0024165890
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010118425
—
VA
Enumeration date
11/22/2005
Last updated
02/26/2013
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