Individual
EBONIQUE T BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10 SAINT PATRICKS DR, WALDORF, MD 20603-4527
(301) 373-7900
(301) 373-6900
Mailing address
10 SAINT PATRICKS DR, WALDORF, MD 20603-4527
(301) 373-7900
(301) 373-6900
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
305905
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
840027000
—
MD
Enumeration date
12/11/2011
Last updated
12/09/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us