Doctor Name: | MRS. CIARA NICHOLE CANDLE |
NPI Number: | 1477924207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | COA. 17737-NP |
Business Practice Address: | 107 Royal Birkdale Dr Ste A Columbiana, OH - 444088493 |
Business Phone Number: | 3304829350 |
Business Fax Number: | 3304825695 |
Mailing Address: | 107 Royal Birkdale Dr, Ste A COLUMBIANA |
State: | OH |
Postal Code: | 444088493 |
Phone Number: | 3304829350 |
Fax Number: | 3304825695 |
NPI Enumeration Date: | 10/20/2015 |
NPI Last Update Date: | 10/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA. 17737-NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |