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NPI 1457004335 · live from the CMS NPI Registry

Effat Bennett, CRNP

Nurse Practitioner, Gerontology in Washington, DC. National Provider Identifier 1457004335, active.

NPI record

NPI1457004335 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Gerontology 363LG0600X
Practice location5255 Loughboro Rd Nw, Washington, DC 20016
Practice phone202-660-6500
Mailing address6201 Greenleigh Ave, Middle River, MD 21220
EnumeratedJanuary 31, 2022
Last updatedAugust 28, 2024
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner363L00000XNP500014970 (DC)
Nurse Practitioner, Acute Care363LA2100X1059403 (TX)
Nurse Practitioner, Gerontology primary363LG0600XNP500014970 (DC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.