Individual
NICOLE L BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14 ANNIES WAY, SPRINGFIELD, MA 01119-1483
(413) 386-7997
Mailing address
14 ANNIES WAY, SPRINGFIELD, MA 01119-1483
(413) 386-7997
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN2301802
MA
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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