IndividualActive
Audrey Bennett, CRNP
NPI 1902122591 · Adult Health Nurse Practitioner · Columbia, MD
Provider details
- NPI number
- 1902122591
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- A0310068 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10175 Little Patuxent Pkwy
Columbia, MD 21044-2655
Phone: (251) 604-4785
Approximate (ZIP-level) locationGet directions
Mailing address
224 Lighthouse Dr
Dothan, AL 36305-7302
Registry dates
- Enumerated
- 2010-04-08
- Last updated
- 2024-08-26
- Certified
- 2024-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.