Individual provider · Type 1 NPI
Candace Mahan
Family Nurse Practitioner · Center, TX
NPI number
1831635614
Active
Practice location
630 Hurst Street
Center, TX 75935
Fax (936) 591-9155
Mailing address
630 Hurst St
Center, TX 75935-3414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP132970 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1831635614
Candace Mahan's National Provider Identifier is 1831635614, issued on Jan 17, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Center, TX. The record was last updated on Aug 12, 2021.