Provider Demographics
NPI:1053134965
Name:STUDER, BEN (RN)
Entity type:Individual
Prefix:
First Name:BEN
Middle Name:
Last Name:STUDER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16167 GOODVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-8964
Mailing Address - Country:US
Mailing Address - Phone:507-291-2521
Mailing Address - Fax:
Practice Address - Street 1:16167 GOODVIEW TRL
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-8964
Practice Address - Country:US
Practice Address - Phone:507-291-2521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2475686163WI0500X, 163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WE0003XNursing Service ProvidersRegistered NurseEmergency