Individual
BENJAMIN MORTISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2558 ARBOR LAKE LN APT 1016, INDIANAPOLIS, IN 46268-4295
(858) 216-5712
Mailing address
2558 ARBOR LAKE LN APT 1016, INDIANAPOLIS, IN 46268-4295
(858) 216-5712
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28279499
IN
Other
Enumeration date
09/25/2025
Last updated
10/16/2025
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