Individual
BENJAMIN COMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
8402 HARCOURT RD STE 300, INDIANAPOLIS, IN 46260-2052
(317) 338-3100
Mailing address
8402 HARCOURT RD STE 300, INDIANAPOLIS, IN 46260-2052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006416A
IN
Other
Enumeration date
07/14/2016
Last updated
06/16/2022
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