Individual
CANDACE RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4095
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-1860
(682) 885-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
744483
TX
363LP0200X
Pediatric Nurse Practitioner
AP121590
TX
Other
Enumeration date
06/19/2012
Last updated
04/06/2021
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