Individual
KOREN CANDACE MEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NNP-BC
Contact information
Practice address
320 CARLIN RD, MANSFIELD, TX 76063-3456
(817) 366-7874
Mailing address
320 CARLIN RD, MANSFIELD, TX 76063-3456
(817) 366-7874
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP126002
TX
Other
Enumeration date
04/18/2014
Last updated
11/14/2014
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