Individual
CANDICE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5350 TALLMAN AVE NW STE 520, SEATTLE, WA 98107-5902
(206) 215-4250
(206) 215-4252
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60594222
WA
Other
Enumeration date
09/02/2015
Last updated
12/02/2015
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