Individual
MRS. CANDICE BARNHARDT PETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 783-4339
Mailing address
2627 ALEXANDER AVE, KANNAPOLIS, NC 28083-9709
(704) 938-3324
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
188810
NC
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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