Provider Demographics
NPI:1043088180
Name:ACHUTI, BENJAMIN (CNA)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:
Last Name:ACHUTI
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1326 32ND PL NE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-2358
Mailing Address - Country:US
Mailing Address - Phone:425-299-3321
Mailing Address - Fax:
Practice Address - Street 1:1326 32ND PL NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-2358
Practice Address - Country:US
Practice Address - Phone:425-299-3321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide