Welcher, Candace Darlene

Welcher, Candace Darlene is an individual health care provider with primary practice located at 101 Skyline Dr , Russellville AR 72801-3363. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Welcher, Candace Darlene can be contacted via phone (479) 968-2345.

Contact Information

Primary practice address
101 Skyline Dr Russellville AR 72801-3363
Phone: (479) 968-2345
Fax: (479) 890-2467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AO1233 Arkansas

Profile Details

NPI number 1104030634
LBN Legal business name Welcher, Candace Darlene
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Feb 10th, 2017 - about 8 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 1104030634 NPPES
Arkansas MEDICAID 194925758

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