Audra Desiree Packard
Audra Desiree Packard is a Physician Assistant in Santa Cruz, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
1555 Soquel DrSanta Cruz, CA 95065-1705
Phone: (831) 462-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 63854 (CA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1164296398 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 8, 2023 |
| Last updated in NPPES | February 14, 2024 |
| Certification date | February 14, 2024 |
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