Individual
ANA CARANDANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 N RIVERSIDE RD STE 204, SAINT JOSEPH, MO 64507-2518
(816) 271-6460
(816) 271-6139
Mailing address
902 N RIVERSIDE RD STE 204, SAINT JOSEPH, MO 64507-2518
(816) 271-6460
(816) 271-6139
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2025035109
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220163860
—
MO
Enumeration date
01/25/2024
Last updated
01/26/2026
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