Provider Demographics
NPI:1760292882
Name:BENSON, LAURA M (RN, ANP)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:M
Last Name:BENSON
Suffix:
Gender:F
Credentials:RN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 LEROY PL APT 213
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10805-2861
Mailing Address - Country:US
Mailing Address - Phone:914-819-8913
Mailing Address - Fax:
Practice Address - Street 1:25 LEROY PL APT 213
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10805-2861
Practice Address - Country:US
Practice Address - Phone:914-819-8913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF301494-01363LA2200X
NY327866-01163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health