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NPI Code Detail

MEDICARE: SARAH ESTHER BENAVIDES FNP

MEDICARE: SARAH ESTHER BENAVIDES FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner1107556TX

General Provider Information

NPI Number : 1992410922
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH ESTHER BENAVIDES FNP
Provider Business Mailing Address
First Line : 7501 KRYPTON DR
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-3140
Country : US
Telephone Number : 361-290-3105
Fax Number :
Provider Business Practice Location Address
First Line : 6330 SARATOGA BLVD
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78414-3481
Country : US
Telephone Number : 361-239-3986
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2023
Last Update Date : 01/13/2023

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Directions to “ SARAH ESTHER BENAVIDES FNP” Practice Location

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