| Doctor Name: | CANDIDA GOEHRING |
| NPI Number: | 1659683654 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C NP |
| License Number: | CP000592 |
| Business Practice Address: | 906 Main St Timber Lake, SD - 57656 |
| Business Phone Number: | 6058653258 |
| Business Fax Number: | 6058458252 |
| Mailing Address: | Po Box 206, TIMBER LAKE |
| State: | SD |
| Postal Code: | 576560206 |
| Phone Number: | 6058653258 |
| Fax Number: | 6058458252 |
| NPI Enumeration Date: | 07/07/2010 |
| NPI Last Update Date: | 11/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | CP000592 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |