Individual
MS. CANDISE M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
401 ARNOLD ST NE, CULLMAN, AL 35055-1968
(256) 739-9593
(256) 739-2984
Mailing address
PO BOX 339, CULLMAN, AL 35056-0339
(256) 739-9593
(256) 739-2984
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-108588
AL
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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