Individual provider · NPI-1

Candace Haymore Burcham, FNP

Nurse Practitioner · Mount Airy, NC

NPI number1861528820
StatusActive
Last updated in NPPESDec 12, 2017

Details

NPI
1861528820
Entity type
Individual (NPI-1)
Name
Candace Haymore Burcham
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 26, 2007
Last updated
Dec 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner201941NCYes
363LF0000X Nurse Practitioner, Family201941NC

Practice location

401 Technology Ln
Suite 200
Mount Airy, NC 27030-6692

Phone 336-789-2922 · Fax 336-789-0856

Mailing address

401 Technology Ln
Suite 200
Mount Airy, NC 27030-6692

Phone 336-789-2922 · Fax 336-789-0856

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