Provider Demographics
NPI:1962634725
Name:BENSON, CHRISTIE (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CHRISTIE
Other - Middle Name:
Other - Last Name:GRANFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:392 CHESTNUT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2411
Mailing Address - Country:US
Mailing Address - Phone:617-754-1800
Mailing Address - Fax:617-754-1820
Practice Address - Street 1:392 CHESTNUT ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2411
Practice Address - Country:US
Practice Address - Phone:617-754-1800
Practice Address - Fax:617-754-1820
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN260693363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology