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MRS. CANDACE C WATERS MSN, FNP-BC, CDE

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

Registrant NPI Number: 1962496554

Individual Registrant:
MRS. CANDACE C WATERS MSN, FNP-BC, CDE
Gender: F
Not Sole Proprietor

Location and contact information for practice:
124 BETTIS ACADEMY RD  GRANITEVILLE, SC 29829-3107 US
Tel: 803-392-3724  Fax: 803-234-5593

Contact information for business:
367 S. GULPH RD ATT: IPM CREDENTIALING KING OF PRUSSIA, PA 19406-3121 US
Tel: 803-392-3724  Fax: --

Registration Information:
NPI: 1962496554
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
SC459

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS SC - Page 1



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