Individual
BENJAMIN DANIEL HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CCRN
Contact information
Practice address
600 EAST BOULEVARD, ELKHART, IN 46514-2483
(574) 524-8130
Mailing address
3245 HEALTH DRIVE, SUITE 100, GRANGER, IN 46530-3076
(574) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
201903711RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
28280412A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300078188
—
IN
Enumeration date
07/01/2020
Last updated
08/22/2023
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