person
Leta Marie Bennison, CNP
Nurse Practitioner in Lafayette, Indiana
NPI 1649344227

Leta Marie Bennison is a Nurse Practitioner based in Lafayette, IN. Leta Marie Bennison practices in Lafayette, IN and has the professional credentials of CNP. The NPI Number for Leta Marie Bennison is 1649344227 and holds a License No. 71002721A (Indiana).

The current practice location address for Leta Marie Bennison is 415 N 26Th St Ste 202, Lafayette, IN and can be reached out via phone at 765-448-8639 and via fax at 765-448-8156.

Location: 415 N 26Th St Ste 202, Lafayette, IN, 47903-5545
person
Provider Profile Details
NPI Number
1649344227
Provider Name
Leta Marie Bennison
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
415 N 26Th St Ste 202, Lafayette, IN, 47903-5545
Phone Number
765-448-8639
Fax Number
765-448-8156
Provider Enumeration Date
11/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000582659 01 IN ANTHEM PROVIDER NUMBER
200911130 05 IN
institution
Provider Business Practice Location Address Details
Address
415 N 26Th St Ste 202
City
State
Zip
47904-2856
Phone Number
765-448-8639
Fax Number
765-448-8156
person
Provider Business Mailing Address Details
Address
415 N 26Th St Ste 202
City
State
Zip
47904-2856
Phone Number
765-448-8639
Fax Number
765-448-8156
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
71002721A (Indiana)
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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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