Individual
CANDACE CERVANTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 CORPORATE WOODS, 10870 BENSON DRIVE #2160, OVERLAND PARK, KS 66210
(833) 357-3227
Mailing address
14310 E 42ND ST S, UNIT 600, INDEPENDENCE, MO 64055-7308
(816) 333-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016016601
MO
Other
Enumeration date
07/20/2016
Last updated
11/26/2019
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