Individual
SYDNEY BENAVIDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS
Contact information
Practice address
99 S 600 E APT 21, PROVO, UT 84606-3281
(702) 682-2406
Mailing address
99 S 600 E APT 21, PROVO, UT 84606-3281
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA3448
NV
363AM0700X
Medical Physician Assistant
Primary
—
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/12/2025
Last updated
04/13/2026
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