Individual
MS. CANDACE A. ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP, C-ACNP, C-PMN
Contact information
Practice address
393 EAST WALNUT STREET, PASADENA, CA 91188
(626) 405-7197
(626) 405-7164
Mailing address
1518B CREEKSIDE CT, PASADENA, CA 91107-1457
(626) 405-7197
(626) 405-7164
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
248884
CA
363LF0000X
Family Nurse Practitioner
Primary
248884
CA
Other
Enumeration date
03/08/2006
Last updated
03/27/2012
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