Individual
AUDRA HELENA BOVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5920 SANDY FORKS RD UNIT 200, RALEIGH, NC 27609-3814
(919) 954-3174
Mailing address
109 W FORTUNE ST APT 1417, TAMPA, FL 33602-3217
(919) 412-0245
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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