Beth K Bennington WHCNP, CNM

NPI 1063482933 - Nurse Practitioner - 363LW0102X

NPI Details
NPI 1063482933
Gender Female
Enumeration Date 01/24/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1200 LAGOON AVE
MINNEAPOLIS MN, 55408-2077, US
Phone (612) 823-6300
Fax
Business Location
626 POND VIEW DR
MENDOTA HEIGHTS MN, 55120-1925, US
Phone (651) 415-9563
Fax
Toxanomy
Taxonomy Code 363LW0102X
License State Minnesota
License Number R076808-3
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According to our database, Beth K Bennington WHCNP, CNM NPI is 1063482933, taxonomy code is 363LW0102X and license number is R076808-3, license state is located at Minnesota. Beth K Bennington WHCNP, CNM physically located at 1200 Lagoon Ave, Minneapolis MN, 55408-2077. NPI Number Beth K Bennington WHCNP, CNM has the Individual type.

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1063482933 NPI number is provided on an as is basis without warranty of any kind. 1063482933 is maintained by the National Plan & Provider Enumeration System. The contents of Beth K Bennington WHCNP, CNM are for informational purposes only.