Leta Marie Bennison is a Lafayette, Indiana based nurse practitioner. Active license number of Leta Marie Bennison is 71002721A 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 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
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
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:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.