Individual
CANDICE MARTIN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4 NEELY LN, CANYON, TX 79015-6470
(801) 310-6337
Mailing address
4 NEELY LN, CANYON, TX 79015-6470
(801) 310-6337
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP144286
TX
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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