Individual
NICOLE DENAE BENJAMIN REDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 THEDA CLARK MEDICAL PLZ STE 340, NEENAH, WI 54956-2763
(920) 364-3600
(920) 364-3900
Mailing address
100 THEDA CLARK MEDICAL PLZ STE 340, NEENAH, WI 54956-2763
(920) 364-3600
(920) 364-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2729
WI
363A00000X
Physician Assistant
PA04542
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y0227
BCBS
TX
Enumeration date
08/13/2006
Last updated
08/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us