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Individual

MRS. CANDICE MICHELLE HEUSER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APN, NP-C

Contact information

Practice address
2501 CITICO AVE, CHATTANOOGA, TN 37404
(423) 697-2000
(423) 697-2320
Mailing address
2501 CITICO AVE, CHATTANOOGA, TN 37404-1127
(423) 697-2000
(423) 697-2320

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN0000017846
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003146227C
GA
01
6006334
BCBS
TN
01
P01276011
RR MEDICARE
05
Q006009
TN
Enumeration date
10/31/2013
Last updated
09/22/2020
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