Individual
BETH K BENNINGTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
WHCNP, CNM
Contact information
Practice address
1200 LAGOON AVE, MINNEAPOLIS, MN 55408-2077
(612) 823-6300
Mailing address
626 POND VIEW DR, MENDOTA HEIGHTS, MN 55120-1925
(651) 415-9563
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
R076808-3
MN
367A00000X
Advanced Practice Midwife
Primary
R076808-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
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
MN
01
—
HP15878
HEALTH PARTNERS
—
Enumeration date
01/24/2006
Last updated
09/11/2025
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