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CANDY LEE WARD NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1619550092

Individual Registrant:
 CANDY LEE WARD NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
273 HOLMAN RD  DIERKS, AR 71833-8703 US
Tel: 870-557-9903  Fax: --

Contact information for business:
273 HOLMAN RD  DIERKS, AR 71833-8703 US
Tel: 870-557-9903  Fax: --

Registration Information:
NPI: 1619550092
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
AR215202

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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