Leta Marie Bennison
CNP | Nurse Practitioner
415 N 26th St Ste 202, Lafayette
Indiana, 47904-2856
765-448-8639
Leta Marie Bennison is a Lafayette, Indiana based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Leta Marie Bennison is 71002721A for Nurse Practitioner in Indiana. Her current practice location is 415 N 26th St Ste 202, Lafayette. Patients can reach her at 765-448-8639 or can fax her at 765-448-8156. Leta Marie Bennison is CNP with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1649344227.
Leta Marie Bennison has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Leta Marie Bennison speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Leta Marie Bennison |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | CNP |
| Practice Address: | 415 N 26th St Ste 202, Lafayette,
Indiana, 47904-2856 |
| Phone: | 765-448-8639 |
| Fax: | 765-448-8156 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1649344227 |
| NPI Enumeration Date: | 17 Nov, 2006 |
| NPI Last Update On: | 23 Jul, 2012 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Leta Marie Bennison are as mentioned below.
| License Number | Specialization | State | Status | |
| 71002721A | Nurse Practitioner | Indiana | Primary | |
| 4704155800 | Nurse Practitioner | Michigan | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Leta Marie Bennison such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 000000582659 | Other | Indiana | ANTHEM PROVIDER NUMBER |
| 200911130 | Medicaid | Indiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Leta Marie Bennison
Po Box 5545,
Lafayette, Indiana |
| Zip: | 47903-5545 |
| Phone Number: | 765-448-8000 |
Patients can reach Leta Marie Bennison at
415 N 26th St Ste 202, Lafayette, Indiana or can
call to book an appointment on 765-448-8639.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.