Individual
DAREENA ELAINE BENAVIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
504 ELM ST NE, ALBUQUERQUE, NM 87102-2512
(505) 727-8360
(505) 727-8768
Mailing address
P.O. BOX 27935, ALBUQUERQUE, NM 87125
(505) 727-8360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP-03336
NM
Other
Enumeration date
07/19/2017
Last updated
01/07/2025
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