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Individual

CANDACE M HART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-1000
Mailing address
8914 SE PORTER RD, VANCOUVER, WA 98664-2853
(360) 904-3590

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00144414
WA
363L00000X
Nurse Practitioner
Primary
AP60824106
WA

Other

Enumeration date
02/27/2017
Last updated
03/17/2018
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