IndividualActive
Benjamin Eithun, CRNP
NPI 1902132376 · Pediatric Nurse Practitioner · Brodhead, WI
Provider details
- NPI number
- 1902132376
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Male
- Sole proprietor
- No
- License
- 5064 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
E401 23rd St
Brodhead, WI 53520-2203
Phone: (262) 701-7257
Approximate (ZIP-level) locationGet directions
Mailing address
937 Merri Hill Dr
Oregon, WI 53575-1001
Additional practice locations (2)
- 200 Hawkins DrIowa City, IA 52242-1009Phone: (888) 573-5437Fax: (319) 356-3949
- 300 Longwood AveBoston, MA 02115-5724Phone: (617) 355-6000
Registry dates
- Enumerated
- 2009-10-20
- Last updated
- 2025-06-16
- Certified
- 2025-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.