Abila Benazea, NURSE PRACTITIONER
Nurse Practitioner, Psych/Mental Health in West Springfield, Massachusetts
1619305521- Practice location
- 103 Myron St, West Springfield, MA 01089-1598
- Phone
- 413-592-1980
- Fax
- 413-439-0100
- Last updated
- May 2, 2023
Abila Benazea is a Nurse Practitioner, Psych/Mental Health based in West Springfield, MA. Abila Benazea practices in West Springfield, MA and has the professional credentials of NURSE PRACTITIONER. The NPI Number for Abila Benazea is 1619305521 and holds a License No. 279930 (MA). The current practice location address for Abila Benazea is 103 Myron St, West Springfield, MA 01089-1598 and can be reached out via phone at 413-592-1980 and via fax at 413-439-0100.
Provider Profile Details
- NPI Number
- 1619305521
- Provider Name
- Abila Benazea
- Credential
- NURSE PRACTITIONER
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 103 Myron St, West Springfield, MA 01089-1598
- Phone Number
- 413-592-1980
- Fax Number
- 413-439-0100
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 31, 2013
- Last Update Date
- May 2, 2023
- Certification Date
- May 2, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 103 Myron St
West Springfield, MA 01089-1598 - City
- West Springfield
- State
- Massachusetts
- Zip
- 01089-1598
- Phone Number
- 413-592-1980
- Fax Number
- 413-439-0100
Provider Business Mailing Address Details
- Address
- 9 Vista Ave
Salem, MA 01970-1027 - City
- Salem
- State
- MA
- Zip
- 01970-1027
- Phone Number
- 781-521-0302
License Information
- License Number (1)
- 279930
- License State (1)
- MA
- Taxonomy (1)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
- License Number (2)
- RN279930
- License State (2)
- MA
- Taxonomy (2)
- Nurse Practitioner, Gerontology · 363LG0600X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Abila Benazea, NURSE PRACTITIONER?
The NPI number of Abila Benazea, NURSE PRACTITIONER is 1619305521. It was assigned on October 31, 2013 and is currently active in the NPPES registry.
What is the specialty of Abila Benazea, NURSE PRACTITIONER?
Abila Benazea, NURSE PRACTITIONER is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number 279930.
Where does Abila Benazea, NURSE PRACTITIONER practice?
The practice location is 103 Myron St, West Springfield, MA 01089-1598. The office can be reached at 413-592-1980 (phone) or 413-439-0100 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1619305521 directly on the NPPES registry website.