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NPI Code Detail

MEDICARE: CANDICE MACHELLE HITE PA-C

MEDICARE:   CANDICE MACHELLE HITE  PA-C
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
1363A00000XPhysician AssistantPA2184NV

General Provider Information

NPI Number : 1457996985
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDICE MACHELLE HITE PA-C
Provider Business Mailing Address
First Line : 6950 W DESERT INN RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3171
Country : US
Telephone Number : 702-702-2595
Fax Number :
Provider Business Practice Location Address
First Line : 6950 W DESERT INN RD STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-3171
Country : US
Telephone Number : 702-702-2595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2019
Last Update Date : 11/07/2019

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Directions to “ CANDICE MACHELLE HITE PA-C” Practice Location

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