Individual
DR. CANDACE MIKLOZEK MCNULTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 PRINGLE WAY, SUITE 401, RENO, NV 89502-1464
(775) 688-8000
(775) 688-8031
Mailing address
75 PRINGLE WAY, SUITE 401, RENO, NV 89502-1464
(775) 688-8000
(775) 688-8031
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
6897
NV
207RC0000X
Cardiovascular Disease Physician
C43207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016589
—
NV
Enumeration date
09/12/2005
Last updated
06/27/2008
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