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Individual

MRS. CANDIE BOOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 948-4000
Mailing address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 948-4000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28184404A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001473345
ANTHEM
IN
01
000001475615
ANTHEM
IN
05
300043081
IN
Enumeration date
07/30/2020
Last updated
08/20/2021
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