Candace Courtney, APRN
Individual provider Active NPI Nurse Practitioner · Parrish, FL
NPI 1508628678 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1508628678
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 11011782 (FL)
- Practice address
- 11676 Little River Way
Parrish, FL 34219-3233 - Phone
- (732) 887-6937
- NPI assigned
- Jan 25, 2024
- 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 |
|---|---|---|---|
| 11011782 | FL | MD | Nurse Practitioner |
| 61526857 | WA | MD | Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 61526857 | WA | |
| Nurse Practitioner | 363L00000X | 11011782 | FL | Yes |
Addresses
Primary practice location
11676 Little River Way
Parrish, FL 34219-3233
Mailing address
11676 Little River Way
Parrish, FL 34219-3233
Phone (732) 887-6937
Other providers in Parrish, FL
- Comfortable Care Dental Health Professionals, P.a.
- Minette Conner
- Michael Cornell
- Susan Arden Cote
- Thomas Coughlin Sr.
- Dilan Cruz Dorrios
- Marilyn Cruz
- Junior Cylet
- Emily Amanda Daka
- Brooke Davis
All providers in Parrish, FL · Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. 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.