Benjamin Layne Eithun, CRNP Valid NPI

Individual provider · Pediatric Nurse Practitioner · Brodhead, WI

NPI

1902132376

Type

Individual (Type 1)

Primary specialty

Pediatric Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0200X

License number

RN1000896 (MA)

Sex

Male

Sole proprietor

No

Enumerated

2009-10-20

Last updated

2025-06-16