Doctor Name: | CANDACE CARTER MILLER |
NPI Number: | 1033146121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MS, CWOCN |
License Number: | 248801 |
Business Practice Address: | 10535 Hospital Way Mather, CA - 956554200 |
Business Phone Number: | 9168437251 |
Business Fax Number: | 9168437120 |
Mailing Address: | 6101 Penela Way, EL DORADO HILLS |
State: | CA |
Postal Code: | 957627571 |
Phone Number: | 9169393318 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0900X |
License Number: | 248801 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Enterostomal Therapy |
Taxonomy Definition: |