Individual
BENJAMIN JAMES ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
123 ANDOVER RD, WESTBROOK, ME 04092-3850
(207) 761-2200
Mailing address
15 DUNLAP ROAD, UNIT A, GORHAM, ME 04038
(724) 602-5462
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CNP241365
ME
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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