Healthcare Provider Details

I. General information

NPI: 1780356121
Provider Name (Legal Business Name): STEVEN ANDREW BINDRIM AGACNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2021
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BROOKLINE AVE
BOSTON MA
02215-5491
US

IV. Provider business mailing address

312 S 24TH ST APT 4A
PHILADELPHIA PA
19103-6436
US

V. Phone/Fax

Practice location:
  • Phone: 617-667-7000
  • Fax:
Mailing address:
  • Phone: 865-335-4531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP036297
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: