Individual
CANDACE FLETCHER MAGGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6550 MAIN ST STE 1000, ZACHARY, LA 70791-4092
(225) 654-1559
(225) 654-6212
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 526-0011
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08833
LA
Other
Enumeration date
08/26/2016
Last updated
03/23/2022
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