Candice Pauline Rivera-Tenerife, BSN RN
Individual provider Active NPI Home Health Registered Nurse · Harbor Beach, MI
NPI 1376870030 · NPPES record last updated Nov 17, 2009
Key facts
- NPI
- 1376870030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 4704205009 (MI)
- Practice address
- 136 N 1St St
Harbor Beach, MI 48441-1101 - Phone
- (989) 479-3101
- Fax
- (989) 479-3529
- NPI assigned
- Nov 17, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704205009 | MI | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concerned Home Care Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 4704205009 | MI | Yes |
Addresses
Primary practice location
136 N 1St St
Harbor Beach, MI 48441-1101
Mailing address
136 N 1St St
Harbor Beach, MI 48441-1101
Phone (989) 479-3101
Other providers in Harbor Beach, MI
- Keri Lynn Pangborn
- Laura Parks
- Portable Podiatry PLLC
- Elen Abegail Ragudos
- Scott Andrew Rayl
- Yasmin Sahul
- Jon F Seaver
- Serving Through Surgery PC
- Emelin Joy Tan
- Jaime F Tan
All providers in Harbor Beach, MI · Home Health Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2009. 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.