Individual
DR. DEONNE JEANETTE BENEDICT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
23601 HWY 99 STE A, EDMONDS, WA 98026-9212
(206) 714-4476
Mailing address
23601 HWY 99 STE A, EDMONDS, WA 98026-9212
(206) 714-4476
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN0116547
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30004155
WA
Other
Enumeration date
06/27/2006
Last updated
10/10/2011
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