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Individual

MS. CANDACE BYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, FNP-C

Contact information

Practice address
294843 US HIGHWAY 101, QUILCENE, WA 98376-9800
(360) 385-3991
(360) 765-3811
Mailing address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 437-5067
(360) 437-4158

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA 60082362
WA
363LF0000X
Family Nurse Practitioner
202100055NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP61157568
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202100055NP-PP
LICENSE TO PRACTICE
OR
01
PA 12097
LICENSE TO PRACTICE
CA
01
PA 60082362
WASHINGTON STATE DEPT OF HEALTH
WA
Enumeration date
04/26/2006
Last updated
03/07/2023
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