Individual
CANDACE ANNE FRADETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0016
(602) 933-4309
Mailing address
2108 E THOMAS RD, PHOENIX, AZ 85016-7761
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP8164
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110165
—
AZ
Enumeration date
10/01/2015
Last updated
12/27/2023
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