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Organization

VERDE VALLEY FUNCTIONAL WELLNESS CENTER & MEDICINAL APOTHECARY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHELLEY MAE CANDELARIA NP (OWNER/PROVIDER)
(928) 607-1971
Entity
Organization

Contact information

Practice address
830 S MAIN ST STE 1A, COTTONWOOD, AZ 86326-4621
(928) 852-0472
Mailing address
830 S MAIN ST STE 1A, COTTONWOOD, AZ 86326-4621
(928) 852-0472

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Enumeration date
12/12/2025
Last updated
12/12/2025
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