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Individual

CANDACE WHITMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
PO BOX 16, WINNEBAGO, WI 54985-0016
(920) 426-4310
Mailing address
724 CLAGGETT AVE, WAUPUN, WI 53963-2204
(920) 296-9552

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15687-33
WI

Other

Enumeration date
07/29/2024
Last updated
07/29/2024
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