Individual
CANDACE M KERNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
546 N. 10TH STREET, FORT SUMNER, NM 88119-0349
(575) 355-2414
(575) 355-7894
Mailing address
546 N. 10TH STREET, FORT SUMNER, NM 88119-0349
(575) 355-2414
(575) 355-7894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
856514
TX
363L00000X
Nurse Practitioner
Primary
59801
NM
363L00000X
Nurse Practitioner
AP143246
TX
363LF0000X
Family Nurse Practitioner
AP143246
TX
Other
Enumeration date
09/12/2019
Last updated
07/26/2024
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