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Individual

MRS. CANDICE MICHELLE MCGOWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
19401 E 39TH ST S, INDEPENDENCE, MO 64057-2308
(816) 490-4277
(855) 446-7160
Mailing address
PO BOX 616788, ORLANDO, FL 32861-6788
(407) 447-7120
(407) 770-0661

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2004008683
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2004008683
NURSE PRACTITIONER LICENSURE
MO
Enumeration date
09/21/2009
Last updated
11/29/2021
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