Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN LAYNE EITHUN, CRNP
ActiveBENJAMIN LAYNE EITHUN, CRNP is a Pediatric Nurse Practitioner healthcare provider located in BRODHEAD, Wisconsin. NPI 1902132376 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · BRODHEAD, WI
Registration Details
- NPI Number
- 1902132376
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2009 (16.776991650376 yrs)
- Last Updated
- Jun 16, 2025
- Licenses
-
5064 (WI)C178097 (IA)RN1000896 (MA)
Practice Information
- Address
-
E401 23RD STBRODHEAD, WI, 535202203Browse WI providers · Browse ZIP 53520
- Phone
- 2627017257
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
- Additional Specialty
- Pediatric Nurse Practitioner
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.