Individual
MARIE BENNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2824 ELKHART RD, GOSHEN, IN 46526-1014
(574) 535-1700
(574) 535-1799
Mailing address
1213 HIDDEN LAKES DR APT 2A, MISHAWAKA, IN 46544-8976
(574) 360-7245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71011313A
IN
363LF0000X
Family Nurse Practitioner
Primary
71011313A
IN
Other
Enumeration date
04/13/2021
Last updated
06/06/2024
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