Individual
CANDACE NICHOLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1717 W 6TH ST, AUSTIN, TX 78703-4773
(512) 806-3535
Mailing address
91 RED RIVER ST APT 1214, AUSTIN, TX 78701-4816
(512) 542-1733
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1033102
TX
Other
Enumeration date
03/23/2021
Last updated
10/23/2024
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