MEDICARE: RACHEL MEYER BENSEN NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	RN2304115	MA

General Provider Information

NPI Number	:	1629593819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MEYER BENSEN NP-C

Provider Business Mailing Address
First Line	:	90 HIGHLAND AVE
Second Line	:
City	:	GREENFIELD
State	:	MA
Zip	:	01301-3606
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	489 BERNARDSTON RD STE 108
Second Line	:
City	:	GREENFIELD
State	:	MA
Zip	:	01301-1239
Country	:	US
Telephone Number	:	413-325-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2017
Last Update Date	:	08/08/2017

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