Individual provider · Type 1 NPI

Simon Allen Wentworth

Student in an Organized Health Care Education/Training Program · Worcester, MA

NPI number 1811844673 Active

Practice location

55 Lake Ave N
Worcester, MA 01605-2464

Call (508) 856-8989 Map

Mailing address

94 Burncoat St Apt 2
Worcester, MA 01605-1331

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1811844673

Simon Allen Wentworth's National Provider Identifier is 1811844673, issued on Mar 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Worcester, MA. The record was last updated on Mar 11, 2026.