Wellformed AI

NPI 1790759108 · live from the CMS NPI Registry

Melissa Margaret Bennett-Carini, C. P. N. P.

Nurse Practitioner, Pediatrics in Boston, MA. National Provider Identifier 1790759108, active.

NPI record

NPI1790759108 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location133 Brookline Ave, Boston, MA 02115
Practice phone617-421-2709
Mailing address162 Century Rd, Weymouth, MA 02190
EnumeratedFebruary 14, 2006
Last updatedDecember 1, 2011
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200X237854 (MA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.