Beth K Bennington
Nurse Practitioner - Women's Health
1200 Lagoon Ave
Minneapolis
, Minnesota 55408-2077
Beth K Bennington
Nurse Practitioner - Women's Health
1200 Lagoon Ave
Minneapolis
, Minnesota 55408-2077
(651) 415-9563
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Beth K Bennington
- 626 Pond View Dr
- Mendota Heights, MN
- Zip : 55120-1925
- Phone : (651) 415-9563
Second Address
- Beth K Bennington
- 1200 Lagoon Ave
- Minneapolis, MN
- Zip : 55408-2077
- Phone : (612) 823-6300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LW0102X | Nurse Practitioner - Women's Health | R076808-3 | MN |
National Provider Identifier
| NPI | 1063482933 |
|---|---|
| Provider Name | Beth K Bennington |
| First Address | Mendota Heights, MN 55120-1925 |
| Second Address | Minneapolis, MN 55408-2077 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 07-03940 | MEDICA (01) | |
| 1033360 | PREFERRED ONE (01) | |
| 105724 | UCARE (01) | |
| 2139398 | AMERICA'S PPO (ARAZ) (01) | |
| 36467 | SIOUX VALLEY HEALTH PLAN (01) | |
| 842S5BE | BCBS MN (01) | MN |
| HP15878 | HEALTH PARTNERS (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.