Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FRED BENSON, OWNER
ActiveFRED BENSON, OWNER is a Licensed Vocational Nurse healthcare provider located in FORT WAYNE, Indiana. NPI 1639899297 is currently active in the NPPES registry. Verify at CMS.
Licensed Vocational Nurse · FORT WAYNE, IN
Registration Details
- NPI Number
- 1639899297
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 1, 2022 (3.7684183432091 yrs)
- Last Updated
- Sep 1, 2022
- License
-
27064077A (IN)
Practice Information
- Address
-
2478 LAKE AVEFORT WAYNE, IN, 468055406Browse IN providers · Browse ZIP 46805
- Phone
- 2603876396
- Fax
- 2603876370
- Primary Specialty
-
Licensed Vocational Nurse
164X00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.