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Individual

CANDICE R HODGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, RN

Contact information

Practice address
224 LONGFELLOW ST STE 200, VANDERGRIFT, PA 15690-1476
(724) 568-5551
(724) 568-3137
Mailing address
332 CHURCHILL RD, PITTSBURGH, PA 15235-5305

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP017968
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103417383
PA
Enumeration date
10/13/2017
Last updated
03/12/2026
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