Bennett, Tiffany L

Bennett, Tiffany L is an individual health care provider with primary practice located at 12502 Willowbrook Rd Ste 380 , Cumberland MD 21502-6592. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Bennett, Tiffany L can be contacted via phone (240) 964-8585.

Contact Information

Primary practice address
12502 Willowbrook Rd Ste 380 Cumberland MD 21502-6592
Phone: (240) 964-8585
Fax: (240) 964-8586
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R163851 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R163851 Maryland

Profile Details

NPI number 1922556612
LBN Legal business name Bennett, Tiffany L
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2016
Last updated Jan 31st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922556612 NPPES
Maryland Other R163851 MARYLAND BOARD OF NURSING

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