Candice Lee McIntyre, RN
Registered Nurse, General Practice in Mexico, NY. Individual provider (NPI-1).
NPI number1669036166
StatusActive
Last updated in NPPESApr 30, 2019
Details
- NPI
- 1669036166
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Candice Lee McIntyre
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2019
- Last updated
- Apr 30, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 606474 | NY | Yes |
Practice location
4084 State Route 69Mexico, NY 13114-3380
Phone 315-806-7268
Mailing address
4084 State Route 69Mexico, NY 13114-3380
Phone 315-806-7268
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