Individual
CANDACE GABRIELLE RENFRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
100 BOURLAND RD STE 150, KELLER, TX 76248-3595
(817) 753-6250
Mailing address
1203 KRISTA DR, BURLESON, TX 76028-8611
(817) 521-9290
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
1068528
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
1068528
TX
Other
Enumeration date
08/10/2022
Last updated
05/27/2025
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