Individual
MR. BENJAMIN ALEXANDER VAN HOOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2273 E GALA ST, MERIDIAN, ID 83642-7289
(208) 944-2354
Mailing address
2323 S VISTA AVE STE 100, BOISE, ID 83705-7343
(208) 250-3135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7971796
ID
Other
Enumeration date
03/05/2026
Last updated
05/05/2026
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