Individual provider · Type 1 NPI

Candice Elise Carlucci Haddock, NP

Family Nurse Practitioner · Bronx, NY

NPI number 1821715491 Active

Practice location

1250 Waters Pl
Bronx, NY 10461-2720

Mailing address

945 Knollwood Rd
White Plains, NY 10603-1121

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse 163WM0705X718830 (NY)
Family Nurse Practitioner Primary 363LF0000X349252 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1821715491

Candice Elise Carlucci Haddock, NP's National Provider Identifier is 1821715491, issued on Oct 25, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Oct 25, 2022.