| NPI | 1881473759 |
|---|---|
| Former Name | CANDICE MARIE PRENTISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 1138328) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX 807483) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-10-24 |