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Candice Elise Maldonado, NURSEPRACTITIONER
Family Nurse Practitioner in Tulsa, Oklahoma
NPI 1760845606

Candice Elise Maldonado is a Family Nurse Practitioner based in San Jose, OK and is specialized in Family. Candice Elise Maldonado practices in Tulsa, OK and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Candice Elise Maldonado is 1760845606 and holds a License No. 99434 (Oklahoma).

The current practice location address for Candice Elise Maldonado is 9245 S Mingo Rd, Tulsa, OK and can be reached out via phone at 918-574-0250 and via fax at 918-574-0259.

Location: 9245 S Mingo Rd, Tulsa, OK, 95133-1253
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Provider Profile Details
NPI Number
1760845606
Provider Name
Candice Elise Maldonado
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Female
Address
9245 S Mingo Rd, Tulsa, OK, 95133-1253
Phone Number
918-574-0250
Fax Number
918-574-0259
Provider Enumeration Date
03/29/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200646430A 05 OK
institution
Provider Business Practice Location Address Details
Address
9245 S Mingo Rd
City
State
Zip
74133-5793
Phone Number
918-574-0250
Fax Number
918-574-0259
person
Provider Business Mailing Address Details
Address
9245 S Mingo Rd
City
State
Zip
74133-5793
Phone Number
918-574-0250
Fax Number
918-574-0259
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
99434 (Oklahoma)
Definition
Definition to come...
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