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NPI Code Detail

MEDICARE: CANDACE WILLIAMS NP

MEDICARE: CANDACE WILLIAMS NP
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
1363LF0000XFamily Nurse PractitionerSP026724PA

General Provider Information

NPI Number : 1578279543
Entity Type Code : Individual
Provider Name (Legal Business Name) : CANDACE WILLIAMS NP
Provider Business Mailing Address
First Line : 800 N 48TH ST UNIT 4
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-1800
Country : US
Telephone Number : 832-640-2099
Fax Number :
Provider Business Practice Location Address
First Line : 5800 WALNUT ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-3836
Country : US
Telephone Number : 832-640-2099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2023
Last Update Date : 01/24/2023

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