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Individual
CANDACE WEST
Active
Individual
CANDACE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196601
TN
363LA2200X
Adult Health Nurse Practitioner
Primary
19381
TN
363LG0600X
Gerontology Nurse Practitioner
APN19381
TN
Other
Enumeration date
06/11/2015
Last updated
02/03/2017
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