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Individual

SARA BENEDICT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-3133
(215) 707-2915
Mailing address
3500 N BROAD ST, PHILADELPHIA, PA 19140-4106
(215) 707-3411

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP029094
PA
363LW0102X
Women's Health Nurse Practitioner
SP029094
PA

Other

Enumeration date
04/25/2024
Last updated
07/10/2024
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