BENJAMIN CALE FRIESEN NPI 1366905275

NPI Information

NPI: 1366905275
Provider Name: BENJAMIN CALE FRIESEN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1915 LAKE AVE
PLYMOUTH, IN
ZIP 46563
Phone: (574) 948-4000
Get Directions

Benjamin Cale Friesen is a family nurse practitioner in Plymouth, IN with 5 years of experience. Benjamin Cale Friesen NPI is 1366905275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1915 LAKE AVE
PLYMOUTH, IN
ZIP 46563-366
Phone: (574) 948-4000

The NPI 1366905275 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/8/2019 and was last updated on 7/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	28203358A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	71008991A	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	71008991A	OTHER	INDIANA	ANP LICENSE
2	28203358A	OTHER		INDIANA STATE BOARD OF NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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