Individual
MARIE G BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
200 GROTON RD, AYER, MA 01432-1168
(978) 784-9000
Mailing address
819 WORCESTER ST, STE 3, SPRINGFIELD, MA 01151-1045
(413) 543-6820
(413) 543-7962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2265713
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110099188A
—
MA
Enumeration date
06/20/2013
Last updated
03/05/2015
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