Individual
CANDUS MARAE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
715 NW DIMMICK ST, GRANTS PASS, OR 97526-1536
(541) 474-5325
(541) 474-5353
Mailing address
715 NW DIMMICK ST, GRANTS PASS, OR 97526-1536
(541) 474-5325
(541) 474-5353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202109690NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202109690NP-PP
OREGON STATE BOARD OF NURSING
OR
Enumeration date
09/13/2021
Last updated
09/13/2021
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