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CANDACE BERLYNN PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
2001 N 4TH ST, FLAGSTAFF, AZ 86004-4227
(928) 527-4325
Mailing address
2001 N 4TH ST, FLAGSTAFF, AZ 86004-4227
(928) 527-4325

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN172192
AZ
363LP2300X
Primary Care Nurse Practitioner
Primary
244439
AZ
363LW0102X
Women's Health Nurse Practitioner
56144
NM

Other

Enumeration date
03/15/2012
Last updated
08/13/2020
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