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Individual

MS. CANDACE E LOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
201 N WASHINGTON ST, KAISER PERMANENTE FALLS CHURCH MEDICAL CENTER, FALLS CHURCH, VA 22046-4518
(703) 237-4000
Mailing address
2101 E JEFFERSON ST, KAISERPERMANENTE MEDICARE ENROLLEMNT, ROCKVILLE, MD 20852-4908
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R081618
MD
363L00000X
Nurse Practitioner
RN 51254
DC
363LF0000X
Family Nurse Practitioner
Primary
0024169668
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
445108200
MD
Enumeration date
12/27/2006
Last updated
12/06/2012
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