Leta Marie Bennison in Lafayette - Nurse Practitioner
Leta Marie Bennison - NPI 1649344227
Leta Marie Bennison is a Nurse Practitioner in Lafayette, Indiana. Leta Marie Bennison practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Leta Marie Bennison is 1649344227. The last update date is 2012-07-23.
Leta Marie Bennison's current location address is 415 N 26th St Ste 202, Lafayette, Indiana. You can contact this provider via phone number 7654488639 and fax number 7654488156. The mailing address for Leta Marie Bennison is 415 N 26th St Ste 202, Lafayette, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leta Marie Bennison |
|---|---|
| Address | 415 N 26th St Ste 202, Lafayette, Indiana |
| Phone Number | 7654488639 |
| Fax Number | 7654488156 |
| Sole Proprietor | N |
| Credentials | CNP |
NPI Number Detail
| NPI Number | 1649344227 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2012-07-23 |
Provider Mailing Address Detail
| Address | 415 N 26th St Ste 202 |
|---|---|
| City | Lafayette |
| State | Indiana (IN) |
| Post Code | 479042856 |
| Phone Number | 7654488639 |
| Fax Number | 7654488156 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 71002721A |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 582659 | IN | ANTHEM PROVIDER NUMBER | |
| 200911130 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Leta Marie Bennison by the Centers for Medicare & Medicaid Services?
The Leta Marie Bennison has been assigned the NPI (National Provider Identifier) 1649344227 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Leta Marie Bennison?
The Leta Marie Bennison is physically situated at 415 N 26Th St Ste 202, in the city of Lafayette, state of IN, with the postal code 479042856.
What is the Leta Marie Bennison's area of specialization and corresponding taxonomy classification?
The Leta Marie Bennison's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.
When was the Leta Marie Bennison's 1649344227 issued?
The Leta Marie Bennison's 1649344227 was issued on 2006-11-17.
As of what date were the details related to Leta Marie Bennison most recently updated or revised?
The information pertaining to Leta Marie Bennison, including its address, specialty, and other relevant details, was last updated or revised on 2012-07-23.
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