Individual
CANDACE L VERDOORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
512 BROADWAY, CENTERVILLE, SD 57014-0070
(605) 563-2411
(605) 563-2060
Mailing address
PO BOX 70, CENTERVILLE, SD 57014-0070
(605) 563-2411
(605) 563-2060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000583
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP000583
NURSE PRACTITIONER LICENSE
SD
01
—
RO28156
LICENSE-RN
SD
Enumeration date
11/05/2009
Last updated
04/17/2015
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