Most Relevant Information
Provider Data
| NPI Number: | 1003695271 |
| Provider Name: | MELISSA A BENNETT CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | R232719 |
Most Important Dates
| Enumeration Date: | 09/26/2023 |
| Last Updated: | 12/22/2023 |
Provider Practice Location
600 GLEN AVE STE 104
SALISBURY
MD
218045256
Practice Location Phone/Fax
| Phone: | 4105439111 |
| Fax: |
Provider Mailing Location
8110 MAPLE LAWN BLVD STE 235
FULTON
MD
207592694
Provider Mailing Phone/Fax
| Phone: | 3013408339 |
| Fax: | 3013409027 |