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NPI 1801338769

IndividualActive

Benjamin Riebesel

NPI 1801338769 · Certified Registered Nurse Anesthetist · Fort Wayne, IN

Provider details

NPI number: 1801338769
Entity type: Individual
Primary specialty: Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
Sex: Male
Sole proprietor: No
License: 28232032A (IN)

Specialties & taxonomies

Certified Registered Nurse AnesthetistPrimary367500000XLicense 28232032A (IN)
Physician Assistants & Advanced Practice Nursing Providers
Registered Nurse163W00000XLicense 28232032A (IN)
Nursing Service Providers

Practice location

5734 Coventry Ln

Fort Wayne, IN 46804-7141

Phone: (260) 435-7973

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

12063 Lower Huntington Rd

Roanoke, IN 46783-9667

Additional practice locations (1)

1373 E State Road 62
Madison, IN 47250-7328
Phone: (812) 801-0609

Registry dates

Enumerated: 2016-11-09
Last updated: 2024-03-11
Certified: 2024-03-11

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Benjamin Riebesel — NPI 1801338769, Fort Wayne, IN | NPI Central