Individual
MRS. MEGAN NICOLE BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
605 GLOBAL WAY STE 119, LINTHICUM, MD 21090-2222
(410) 789-7337
(410) 789-0425
Mailing address
605 GLOBAL WAY STE 119, LINTHICUM, MD 21090-2222
(667) 888-7337
(410) 789-0425
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R202351
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
742005600
—
MD
Enumeration date
02/02/2018
Last updated
06/04/2024
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