Individual provider · Type 1 NPI
Audra Helena Bovender, PA-C
Medical Physician Assistant · Raleigh, NC
NPI number
1013603489
Active
Practice location
5920 Sandy Forks Rd Unit 200
Raleigh, NC 27609-3814
Mailing address
109 W Fortune St Apt 1417
Tampa, FL 33602-3217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1013603489
Audra Helena Bovender, PA-C's National Provider Identifier is 1013603489, issued on Apr 17, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Apr 17, 2023.