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NPI Code Detail

MEDICARE: CANDICE HARPER RN

MEDICARE: CANDICE HARPER RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WS0200XSchool Registered NurseR0095925OK

General Provider Information

NPI Number : 1457208142
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE HARPER RN
Provider Business Mailing Address
First Line : 23078 E 520 RD
Second Line :
City : COLCORD
State : OK
Zip : 74338-4917
Country : US
Telephone Number : 479-220-9791
Fax Number :
Provider Business Practice Location Address
First Line : 433 S LARMON
Second Line :
City : COLCORD
State : OK
Zip : 74338-5034
Country : US
Telephone Number : 918-326-4116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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