Candace Beam, PMHNP
Individual provider Active NPI Nurse Practitioner · Hudson, OH
NPI 1124938717 · NPPES record last updated Sep 8, 2026
Key facts
- NPI
- 1124938717
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APRN.CNP.0043013 (OH)
- Practice address
- 5670 Nicholson Dr
Hudson, OH 44236-3766 - Phone
- (937) 546-8365
- NPI assigned
- Sep 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN.CNP.0043013 | OH | Yes |
Addresses
Primary practice location
5670 Nicholson Dr
Hudson, OH 44236-3766
Mailing address
5670 Nicholson Dr
Hudson, OH 44236-3766
Phone (937) 546-8365
Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.