Whalio Doctors

NPI 1053698969

Laura Ann Benack, NP

Practitioner Adult Health Nurse Practitioner Saint Peters, MO

Practice location

Address
150 Entrance Way, Saint Peters, MO 63376-1645
Phone
(636) 916-9920
Fax
(636) 916-9176
Mailing address
670 Mason Ridge Center Dr STE 300, Saint Louis, MO 63141-8573

Registered specialties

Adult Health Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence 2011036334 (MO)

Registry record

NPI
1053698969
Entity type
Individual
Sex (as registered)
Female
NPI issued
5 Nov 2011
Record last updated
24 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.