Individual
LAURA BENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
755 36TH ST SE, WYOMING, MI 49548-2319
(616) 455-5000
Mailing address
755 36TH ST SE, WYOMING, MI 49548-2319
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704160263
MI
Other
Enumeration date
12/12/2007
Last updated
09/25/2025
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