Individual
CANDACE NICOLE CARBARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
300 VALLEY ST NE, ABINGDON, VA 24210-2912
(276) 206-8197
Mailing address
300 VALLEY ST NE, ABINGDON, VA 24210-2912
(276) 206-8197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024175792
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710485503
—
VA
Enumeration date
01/26/2018
Last updated
01/02/2025
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