Candice Michael
Individual provider Active NPI Registered Nurse · Boonsboro, MD
NPI 1174483804 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1174483804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R173358 (MD)
- Practice address
- 8342 Mountain Laurel Rd
Boonsboro, MD 21713-1832 - Phone
- (301) 331-2430
- NPI assigned
- Nov 14, 2025
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R173358 | MD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R173358 | MD | Yes |
Addresses
Primary practice location
8342 Mountain Laurel Rd
Boonsboro, MD 21713-1832
Mailing address
8342 Mountain Laurel Rd
Boonsboro, MD 21713-1832
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All providers in Boonsboro, MD · Registered Nurse in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.