Individual
MRS. CANDICE M GAITANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP, ARNP
Contact information
Practice address
4864 E BASELINE RD STE 105, MESA, AZ 85206-4629
(480) 558-1900
Mailing address
1294 E VERDE BLVD, QUEEN CREEK, AZ 85140-5376
(480) 540-0767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP4770
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP4770
AZ
Other
Enumeration date
01/29/2013
Last updated
01/19/2020
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