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Individual
MR. BENJAMIN JOSEPH MASTRIDGE
Active
Individual
MR. BENJAMIN JOSEPH MASTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, PMHAPRN-BC
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
195355
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5005347
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6113119
—
NC
Enumeration date
05/01/2007
Last updated
07/21/2026
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