Individual
CARLY SUE CANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
402 AVENUE H NW, CHILDRESS, TX 79201-3037
(806) 205-0871
Mailing address
402 AVENUE H NW, CHILDRESS, TX 79201-3037
(806) 205-0871
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08220631
TX
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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