Individual
CANDACE CHURCHWELL PETREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-C
Contact information
Practice address
705 SUMMIT CROSSING PL, GASTONIA, NC 28054-2216
(704) 671-6300
(704) 671-6307
Mailing address
705 SUMMIT CROSSING PL, GASTONIA, NC 28054-2216
(704) 671-6300
(704) 671-6307
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
00300347
NC
Other
Enumeration date
09/29/2005
Last updated
09/21/2010
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