Individual
BENJAMIN S. SIMMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-9764
(508) 334-6052
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2288790
MA
163W00000X
Registered Nurse
RN53494
RI
363L00000X
Nurse Practitioner
RN2288790
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2288790
MA
363LA2200X
Adult Health Nurse Practitioner
APRN01153
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110100820A
—
MA
Enumeration date
08/20/2014
Last updated
10/31/2022
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