Provider Demographics
NPI:1316988306
Name:BENOIT, CATHY (FNP)
Entity type:Individual
Prefix:MRS
First Name:CATHY
Middle Name:
Last Name:BENOIT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 NORTH ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-5108
Mailing Address - Country:US
Mailing Address - Phone:508-771-1710
Mailing Address - Fax:508-771-7293
Practice Address - Street 1:297 NORTH ST
Practice Address - Street 2:SUITE 6
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-5108
Practice Address - Country:US
Practice Address - Phone:508-771-1710
Practice Address - Fax:508-771-7293
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA180549363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANP4006Medicare ID - Type Unspecified