Provider Demographics
NPI:1780087692
Name:BENDER, AMY ELIZABETH (MS, FNP-BC)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:ELIZABETH
Last Name:BENDER
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Gender:F
Credentials:MS, FNP-BC
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Mailing Address - Street 1:1145 19TH ST NW SUITE #210
Mailing Address - Street 2:DC INTERNAL MEDICINE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036
Mailing Address - Country:US
Mailing Address - Phone:202-223-6199
Mailing Address - Fax:202-223-6799
Practice Address - Street 1:1145 19TH ST NW
Practice Address - Street 2:SUITE #210.
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036
Practice Address - Country:US
Practice Address - Phone:202-223-6199
Practice Address - Fax:202-223-6799
Is Sole Proprietor?:No
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCRN1033614363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner