Individual
CANDICE MARIE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3142 HORIZON RD STE 110, ROCKWALL, TX 75032-7810
(972) 771-1171
Mailing address
3142 HORIZON RD STE 110, ROCKWALL, TX 75032-7810
(972) 771-1171
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1138328
TX
363LA2100X
Acute Care Nurse Practitioner
807483
TX
Other
Enumeration date
09/28/2023
Last updated
10/24/2023
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