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Individual

CANDACE H NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NNP

Contact information

Practice address
3330 MASONIC DR, ALEXANDRIA, LA 71301-3841
(318) 448-6827
Mailing address
PO BOX 369, BOYCE, LA 71409-0369
(318) 277-1818

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
43449-1196
LA
363LN0000X
Neonatal Nurse Practitioner
AP01196
LA

Other

Enumeration date
12/12/2017
Last updated
08/08/2024
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