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Individual

MS. CANDACE DARLENE WELCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-2467
Mailing address
101 SKYLINE DR, RUSSELLVILLE, AR 72801-3363
(479) 968-2345
(479) 890-2467

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AO1233
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
194925758
AR
Enumeration date
05/10/2007
Last updated
02/10/2017
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