Individual
LAURA BROOKE BENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WHEELING AVE, GLEN DALE, WV 26038-1660
(304) 845-3211
Mailing address
53770 CASH RIDGE RD, SHADYSIDE, OH 43947-9775
(740) 391-5859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
124382
WV
Other
Enumeration date
04/24/2025
Last updated
11/03/2025
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