Individual
VIVIAN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
480 MAPLE ST, DANVERS, MA 01923-4065
(978) 304-8600
(978) 304-8621
Mailing address
24 CENTRAL ST, MARBLEHEAD, MA 01945-3002
(781) 631-1111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
212621
MA
Other
Enumeration date
10/25/2006
Last updated
07/30/2015
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