Individual
MRS. KANDISS L INMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC, MSN, MSCP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
N-38712
ID
163W00000X
Registered Nurse
NP-1050A
ID
363LW0102X
Women's Health Nurse Practitioner
Primary
NP-1050A
ID
363LW0102X
Women's Health Nurse Practitioner
NUR-APRN-LIC-238567
MT
Other
Enumeration date
05/08/2012
Last updated
08/05/2025
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