BENJAMIN SCOTT HANENKRATT

FORT WAYNE, IN
NPI1841768678
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71008283A)
Enumeration Date2018-11-09
Last Update Date2023-11-21
Business Address
BENJAMIN SCOTT HANENKRATT PMHNP-BC
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
BENJAMIN SCOTT HANENKRATT PMHNP-BC
1831 KENDAWA DR
FORT WAYNE, IN 46815-7937
Phone number: 260-445-7179