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Benjamin Layne Eithun, CRNP
Pediatric Nurse Practitioner in Brodhead, Wisconsin
NPI 1902132376

Benjamin Layne Eithun is a Pediatric Nurse Practitioner based in Oregon, WI and is specialized in Pediatrics. Benjamin Layne Eithun practices in Brodhead, WI and has the professional credentials of CRNP. The NPI Number for Benjamin Layne Eithun is 1902132376 and holds a License No. 5064 (Wisconsin).

The current practice location address for Benjamin Layne Eithun is E401 23Rd St, Brodhead, WI and can be reached out via phone at 262-701-7257.

Location: E401 23Rd St, Brodhead, WI, 53575-1001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902132376
Provider Name
Benjamin Layne Eithun
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
E401 23Rd St, Brodhead, WI, 53575-1001
Phone Number
262-701-7257
Fax Number
Provider Enumeration Date
10/20/2009
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
E401 23Rd St
City
Brodhead
State
Wisconsin
Zip
53520-2203
Phone Number
262-701-7257
Fax Number
person
Provider Business Mailing Address Details
Address
E401 23Rd St
City
Brodhead
State
Wisconsin
Zip
53520-2203
Phone Number
262-701-7257
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN1000896 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
5064 (Wisconsin)
Definition
Definition to come...
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