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NPI Code Detail

MEDICARE: BETH K BENNINGTON WHCNP, CNM

MEDICARE: BETH K BENNINGTON WHCNP, CNM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerR076808-3MN
2367A00000XAdvanced Practice MidwifeR076808-3MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HP15878OTHERHEALTH PARTNERS
22139398OTHERAMERICA'S PPO (ARAZ)
307-03940OTHERMEDICA
4842S5BEOTHERMNBCBS MN
51033360OTHERPREFERRED ONE
6105724OTHERUCARE
736467OTHERSIOUX VALLEY HEALTH PLAN

General Provider Information

NPI Number : 1063482933
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH K BENNINGTON WHCNP, CNM
Provider Business Mailing Address
First Line : 626 POND VIEW DR
Second Line :
City : MENDOTA HEIGHTS
State : MN
Zip : 55120-1925
Country : US
Telephone Number : 651-415-9563
Fax Number :
Provider Business Practice Location Address
First Line : 1200 LAGOON AVE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2077
Country : US
Telephone Number : 612-823-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2006
Last Update Date : 09/11/2025

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