Provider Demographics
NPI:1689815755
Name:AKHUETIE-ONI, BEN OAMEN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MR
First Name:BEN
Middle Name:OAMEN
Last Name:AKHUETIE-ONI
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:10408 INDIANA AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-1893
Mailing Address - Country:US
Mailing Address - Phone:651-343-5154
Mailing Address - Fax:651-227-6847
Practice Address - Street 1:330 MARIE AVE E
Practice Address - Street 2:
Practice Address - City:WEST SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-4011
Practice Address - Country:US
Practice Address - Phone:651-343-5154
Practice Address - Fax:651-227-6847
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR1546003-9363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner