Individual
ANNALECIA MARIE BENVENUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(857) 282-0777
Mailing address
215 ALEWIFE BROOK PKWY, CAMBRIDGE, MA 02138-1101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2267451
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2267451
MA
Other
Enumeration date
08/24/2016
Last updated
01/31/2024
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