Individual
CANDICE HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
408 E 137TH ST, BRONX, NY 10454-4004
(718) 993-3458
Mailing address
1540 BROADWAY FL 10, NEW YORK, NY 10036-4039
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
715254
NY
Other
Enumeration date
12/17/2019
Last updated
01/03/2020
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