IndividualActive
Benjamin Williams
NPI 1376299107 · Pediatric Nurse Practitioner · Blaine, MN
Provider details
- NPI number
- 1376299107
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 8281 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11107 Ulysses St Ne Ste 100
Blaine, MN 55434-4264
Phone: (763) 333-7733
Approximate (ZIP-level) locationGet directions
Mailing address
11107 Ulysses St Ne Ste 100
Blaine, MN 55434-4264
Registry dates
- Enumerated
- 2022-03-02
- Last updated
- 2022-03-02
- Certified
- 2022-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.