Individual
BENJAMIN VANDERSOMMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
26224 N TATUM BLVD, PHOENIX, AZ 85050-7500
(480) 663-9632
(480) 419-6782
Mailing address
26224 N TATUM BLVD, PHOENIX, AZ 85050-7500
(480) 663-9632
(480) 419-6782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
298887
AZ
Other
Enumeration date
10/23/2023
Last updated
12/04/2025
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