Individual
CANDACE BERLYNN PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
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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