Individual
NICOLE S BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1901 SW H K DODGEN LOOP, TEMPLE, TX 76502-1814
(254) 935-4000
(254) 935-4111
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP115546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185590003
—
TX
01
—
185590004
CSHCN
TX
Enumeration date
01/30/2007
Last updated
12/13/2021
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