Individual
MRS. CANDICE BAXENDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
500 PARK PL, MUSTANG, OK 73064-3104
(405) 376-6459
Mailing address
500 PARK PL, MUSTANG, OK 73064-3104
(405) 376-6459
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
89089
OK
Other
Enumeration date
01/15/2014
Last updated
06/11/2014
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