Individual
CAROLYN A BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
123 SUMMER ST STE 230S, WORCESTER, MA 01608-1216
(508) 368-3150
(508) 368-3152
Mailing address
123 SUMMER ST STE 230S, WORCESTER, MA 01608-1216
(508) 368-3150
(508) 368-3152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8151
CT
363L00000X
Nurse Practitioner
Primary
RN168131
MA
363LA2100X
Acute Care Nurse Practitioner
RN168131
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110016483A
—
MA
Enumeration date
07/31/2006
Last updated
05/22/2024
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