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Individual

CANDICE K URIBARRI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, CPNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
688581
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
110882
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110882
NE APRN LICENSE
NE
01
688581
TX RN LICENSE
TX
Enumeration date
08/20/2007
Last updated
09/19/2023
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