Individual provider · Type 1 NPI
Benjamin Rawalt, DNP
Acute Care Nurse Practitioner · Lawrence, KS
NPI number
1861058455
Active
Practice location
325 Maine St
Lawrence, KS 66044-1360
Fax (785) 505-2874
Mailing address
2114 N 1000th Rd
Eudora, KS 66025-9193
Other practice locations
- 600 SW 6th Ave, Topeka, KS 66603-3362 · (785) 233-9643
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 141628 (KS) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 78860 (KS) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1861058455
Benjamin Rawalt, DNP's National Provider Identifier is 1861058455, issued on May 20, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Lawrence, KS. The record was last updated on Oct 26, 2023.