Individual
MS. ANN ELIZABETH BENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
80 E MAIN ST, CANTON, NY 13617-1450
(315) 261-5615
(315) 261-7183
Mailing address
50 LEROY ST, POTSDAM, NY 13676-1799
(315) 265-3300
(315) 261-6025
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
22570374
NY
163WS0200X
School Registered Nurse
22570374
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
382969
NY
Other
Enumeration date
06/29/2011
Last updated
11/25/2025
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