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MRS. CANDACE W CASSADY ARNP

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

Registrant NPI Number: 1093922718

Individual Registrant:
MRS. CANDACE W CASSADY ARNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
104 MEDICAL PARK DR.  ANDALUSIA, AL 36420-5357 US
Tel: 334-222-2562  Fax: 334-222-2725

Contact information for business:
PO BOX 2699  PENSACOLA, FL 32513-2699 US
Tel: --  Fax: --

Registration Information:
NPI: 1093922718
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
AL1082721
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLARNP9327320

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE PTAN102I504860AL01




HEALTH CARE JOBS AL - Page 1



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