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NPI Profile for Dr DEONNE J BENEDICT in EDMONDS, WA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
General Practice |
163WG0000X |
| NPI # | 1356378186 |
|
| Status | Active | |
| Credentials | ARNP (Advanced Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 06/27/2006 | |
| Last updated | 10/10/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DEONNE J BENEDICT
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DEONNE J BENEDICT, ARNP