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Contact Information

SYDNEY BENAVIDEZ, MPAS
99 S 600 E APT 21
PROVO, UT84606-3281
 Phone: 702-682-2406
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SYDNEY BENAVIDEZ · (Female)

NPI Number 1770373896
Status Active
Credentials MPAS
Entity Individual
Enumeration date 05/12/2025
Last updated 04/13/2026 - About 2 months ago
Sole proprietor 1 Yes
Identifiers
  • NV License # PA3448
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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