Individual
CANDICE HEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MSC11 6025, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 994-7629
Mailing address
933 BRADBURY DR SE STE 2222, ALBUQUERQUE, NM 87106-4375
(505) 272-3120
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2012-0028
NM
363AM0700X
Medical Physician Assistant
PA2012-0028
NM
Other
Enumeration date
09/05/2012
Last updated
09/20/2023
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