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BENJAMIN LAYNE EITHUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
E401 23RD ST, BRODHEAD, WI 53520-2203
(262) 701-7257
Mailing address
937 MERRI HILL DR, OREGON, WI 53575-1001
(608) 212-9866

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5064
WI
363LP0200X
Pediatric Nurse Practitioner
C178097
IA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN1000896
MA

Other

Enumeration date
10/20/2009
Last updated
06/16/2025
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