Individual
CANDACE L CARSON-MCCOLLUM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2741 DEBARR RD, STE C312, ANCHORAGE, AK 99508-2953
(907) 264-2333
(907) 272-1629
Mailing address
PO BOX 241889, ANCHORAGE, AK 99524-1889
(907) 563-1777
(907) 561-7464
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
740
AK
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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