Individual
MR. NICHOLAS ROBERT BENHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
175 CONNORS ST, GARDNER, MA 01440-2637
(978) 878-8100
Mailing address
59 BRIDLECROSS RD, LEOMINSTER, MA 01453-3496
(978) 549-6614
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN2366333
MA
Other
Enumeration date
03/19/2024
Last updated
03/19/2024
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