LORETTA NKEMJIKA BENNAM


Address: 8622 Granite Peach Ln, Richmond, TX 77407-8614
Phone: 8322747460

LORETTA NKEMJIKA BENNAM (NPI# 1518520659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518520659
Entity Type Individual
Full Name LORETTA NKEMJIKA BENNAM
Credential FNP-C
Practice Address 8622 Granite Peach Ln
Richmond
TX 77407-8614
Practice Telephone 8322747460
Mailing Telephone 8322747460
Enumeration Date 2019-04-15
Last Update Date 2019-04-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AP140828 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8622 GRANITE PEACH LN
City RICHMOND
State TX
Zip Code 77407-8614

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1518517655 Alternative Health Solutions LLC Nurse Practitioner 235 Boggs Ln Ste 12&3, Richmond, KY 40475-2584 2019-09-19
1902284508 Vivian Irabor Nurse Practitioner 9215 Clearwater Ranch Ln, Richmond, TX 77407-1701 2015-05-14
1538348388 Center for Internal Medicine Hyper Kidney Disease & Critical Care Inc Nurse Practitioner 110 N Robinson St Ste 305, Richmond, VA 23220-4461 2007-10-29
1699375964 Kateria Sha'kee Carter Washington Nurse Practitioner 2809 Emerywood Pkwy, Richmond, VA 23294-3730 2020-10-27
1871100545 Elizabeth Butler Kouzel Nurse Practitioner 401 N 11th St, Richmond, VA 23219-1901 2020-09-28
1487261160 Nicole Blankenship Nurse Practitioner 1200 W Cary St, Richmond, VA 23220-5410 2020-09-28
1235752239 Allday Healthcare Inc Nurse Practitioner 1118 Ferry St, Richmond, TX 77469-2921 2020-05-26
1730737735 Mika Parker Catalano Nurse Practitioner 7611 Forest Ave Ste 100, Richmond, VA 23229-4946 2019-09-03
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Competitor

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City RICHMOND
Zip Code 77407

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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