Mcgowan, Candice Michelle

Mcgowan, Candice Michelle is an individual health care provider with primary practice located at 19401 E 39Th St S , Independence MO 64057-2308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcgowan, Candice Michelle can be contacted via phone (816) 490-4277.

Contact Information

Primary practice address
19401 E 39Th St S Independence MO 64057-2308
Phone: (816) 490-4277
Fax: (855) 446-7160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2004008683 Missouri

Profile Details

NPI number 1639403876
LBN Legal business name Mcgowan, Candice Michelle
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2009
Last updated Nov 29th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639403876 NPPES
Missouri Other 2004008683 NURSE PRACTITIONER LICENSURE

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