Individual
CANDACE SNOW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 844-6922
Mailing address
10 UNION SQ E # 5E, NEW YORK, NY 10003-3314
(646) 831-7812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345429
NY
Other
Enumeration date
02/10/2020
Last updated
09/11/2020
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