Individual
MRS. CANDANCE MARIE GUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, APRN-CNP
Contact information
Practice address
1906 W HILLSBORO ST STE B, EL DORADO, AR 71730
(870) 639-9322
(501) 492-6477
Mailing address
PO BOX 11898, EL DORADO, AR 71730-0037
(870) 639-9322
(501) 492-6477
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
122196
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12296
APRN LICENSE
AR
01
—
14569857
CAQH PROVIDER ID
—
01
—
5FG01
BCBS
AR
Enumeration date
09/20/2019
Last updated
04/06/2020
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