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Benjamin Cale Friesen
Family Nurse Practitioner in Plymouth, Indiana
NPI 1366905275

Benjamin Cale Friesen is a Family Nurse Practitioner based in Bristol, IN and is specialized in Family. Benjamin Cale Friesen practices in Plymouth, IN. The NPI Number for Benjamin Cale Friesen is 1366905275 and holds a License No. 28203358A (Indiana).

The current practice location address for Benjamin Cale Friesen is 1915 Lake Ave, Plymouth, IN and can be reached out via phone at 574-948-4000.

Location: 1915 Lake Ave, Plymouth, IN, 46507-9516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366905275
Provider Name
Benjamin Cale Friesen
Credential
Provider Entity Type
Individual
Gender
Male
Address
1915 Lake Ave, Plymouth, IN, 46507-9516
Phone Number
574-948-4000
Fax Number
Provider Enumeration Date
04/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28203358A 01 INDIANA STATE BOARD OF NURSING
71008991A 01 IN ANP LICENSE
institution
Provider Business Practice Location Address Details
Address
1915 Lake Ave
City
Plymouth
State
Indiana
Zip
46563-9366
Phone Number
574-948-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1915 Lake Ave
City
Plymouth
State
Indiana
Zip
46563-9366
Phone Number
574-948-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Critical Care Medicine
Taxonomy
163WC0200X
License No.
71008991A (Indiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
28203358A (Indiana)
Definition
Definition to come...
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