Candice Marie Pritts, LPN

Individual provider Active NPI Licensed Practical Nurse · Flushing, OH

NPI 1003107491 · NPPES record last updated Apr 20, 2011

Key facts

NPI
1003107491
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN.132284IV (OH)
Practice address
69053 Barbina Rd
Flushing, OH 43977-9723
Phone
(740) 359-0151
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PN.132284IVOHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN.132284IV OH Yes

Addresses

Primary practice location

69053 Barbina Rd
Flushing, OH 43977-9723

Mailing address

69053 Barbina Rd
Flushing, OH 43977-9723
Phone (740) 359-0151

Other providers in Flushing, OH

All providers in Flushing, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.