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MRS. CANDACE W CASSADY ARNP
>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1093922718
Individual Registrant:MRS. CANDACE W CASSADY ARNP
Gender: F
Not Sole Proprietor
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
Tel: 334-222-2562 Fax: 334-222-2725
Contact information for business:
PO BOX 2699 PENSACOLA, FL 32513-2699 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1093922718
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | AL | 1082721 |
| N | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | FL | ARNP9327320 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE PTAN | 102I504860 | AL | 01 |
