Healthcare Provider Details

I. General information

NPI: 1053043679
Provider Name (Legal Business Name): NAHOLISTIC HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 SUMMER ST # 330F
FITCHBURG MA
01420-0200
US

IV. Provider business mailing address

76 SUMMER ST # 330F
FITCHBURG MA
01420-0200
US

V. Phone/Fax

Practice location:
  • Phone: 978-400-0838
  • Fax: 949-437-3980
Mailing address:
  • Phone: 978-533-5725
  • Fax: 949-437-3980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THERESE M BINYAME
Title or Position: FNP & PMNP-BC
Credential: NP
Phone: 978-533-5725