Provider Demographics
NPI:1346040714
Name:BENNETT, MARIA (MSN-APRN PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:
Last Name:BENNETT
Suffix:
Gender:
Credentials:MSN-APRN PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2338 KENNINGTON CV
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-8471
Mailing Address - Country:US
Mailing Address - Phone:646-408-5897
Mailing Address - Fax:
Practice Address - Street 1:2338 KENNINGTON CV
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-8471
Practice Address - Country:US
Practice Address - Phone:646-408-5897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-15
Last Update Date:2025-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11038202163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health