Individual
CARMEN NICHOLAS DIBENEDETTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
275 HOSPITAL DR, UKIAH, CA 95482-4531
(707) 463-7516
Mailing address
1060 VIA ESCONDIDA, NOVATO, CA 94949-5932
(415) 300-7580
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
563009
CA
367500000X
Certified Registered Nurse Anesthetist
95001636
CA
Other
Enumeration date
10/13/2021
Last updated
11/13/2025
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