Individual
MS. EMILY C BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 E MARSHALL STREET, OB/GYN, RICHMOND, VA 23298-0510
(804) 828-4409
(804) 828-6084
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
0024050909
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007793413 541581185
—
VA
Enumeration date
10/13/2006
Last updated
10/06/2011
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