Individual
CANDACE JEAN MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12201 RENFERT WAY STE 320, AUSTIN, TX 78758-5372
(512) 323-5465
(512) 476-9892
Mailing address
12201 RENFERT WAY STE 320, AUSTIN, TX 78758-5372
(512) 323-5465
(512) 476-9892
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
695466
TX
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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