Individual
CANDICE T PYCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
945 MAIN ST STE 202203, MANCHESTER, CT 06040-6064
(860) 871-6710
Mailing address
272 MAIN ST, MANCHESTER, CT 06042-3536
(860) 646-8044
(860) 643-4891
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
002902
CT
363LF0000X
Family Nurse Practitioner
Primary
002902
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004239217
—
CT
Enumeration date
01/23/2006
Last updated
06/09/2023
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