NPI

Stephanie Ann Bennington

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DO
Type
Individual
Enumeration date
2018-07-18
Last updated
2025-03-18

Specialties

Licenses

License NE
8352
License IL
036167028
License WY
17508A

Location

Practice location
201 W Lakeway Rd Ste 700
City
Gillette WY
Postal code
82718-6346
Phone
(307) 387-9850

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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