Leta Marie Bennison, CNP

NPI #1649344227 in Lafayette, Indiana

Provider Information

NPI Number
1649344227
Entity Type
Individual
Name
Leta Marie Bennison, CNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
CNP
Enumeration Date
Nov 17, 2006
Last Updated
Jul 23, 2012

Practice Location

Address
415 N 26TH ST STE 202
State
Indiana
ZIP Code
47904-2856
Phone
(765) 448-8639

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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