Individual
CHARISSE BENITEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
3115 GUERRA DR, LAREDO, TX 78045-8888
(956) 206-6114
Mailing address
3115 GUERRA DR, LAREDO, TX 78045-8888
(956) 206-6114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1059318
TX
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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