MRS. Mary Keely Costello Bennett, AGACNP-BC is an acute care nurse practitioner in Richmond, VA. MRS. Mary Keely Costello Bennett, AGACNP-BC NPI is 1417398124. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1250 E MARSHALL ST
EMERGENCY MEDICINE
RICHMOND, VA
ZIP 23298-051
Phone: (804) 828-5650
Fax: (804) 828-4686
The NPI 1417398124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/10/2013 and was last updated on 2/7/2019.