Individual provider · Type 1 NPI

Sandra Lucille Benavides, CPNP

Pediatric Nurse Practitioner · Houston, TX

NPI number 1205959095 Active

Practice location

6621 Fannin St, Mc 2-1450
Houston, TX 77030

Mailing address

1510 Shamrock Ln
Deer Park, TX 77536-3957

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X561791 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1205959095

Sandra Lucille Benavides, CPNP's National Provider Identifier is 1205959095, issued on Apr 9, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Houston, TX. The record was last updated on Jul 8, 2007.