Individual
CANDICE MARIE MIDKIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2539 VIKING DR STE 100, BOSSIER CITY, LA 71111-1611
(318) 747-8105
(318) 747-8150
Mailing address
2539 VIKING DR STE 101, BOSSIER CITY, LA 71111-2165
(318) 747-8100
(318) 747-8150
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
226511
LA
Other
Enumeration date
07/05/2022
Last updated
07/13/2022
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