Individual
AUDREY ANN BENEDICT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6201 HARRY HINES BLVD, DALLAS, TX 75235-5202
(214) 633-5555
Mailing address
1405 BENT CREEK DR, SOUTHLAKE, TX 76092-9407
(970) 980-7404
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN270801
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
1177370
TX
Other
Enumeration date
05/29/2024
Last updated
01/13/2025
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