Candice Lee McIntyre, RN
Individual provider Active NPI General Practice Registered Nurse · Mexico, NY
NPI 1669036166 · NPPES record last updated Apr 30, 2019
Key facts
- NPI
- 1669036166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 606474 (NY)
- Practice address
- 4084 State Route 69
Mexico, NY 13114-3380 - Phone
- (315) 806-7268
- NPI assigned
- Apr 30, 2019
- 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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 606474 | NY | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 606474 | NY | Yes |
Addresses
Primary practice location
4084 State Route 69
Mexico, NY 13114-3380
Mailing address
4084 State Route 69
Mexico, NY 13114-3380
Phone (315) 806-7268
Other providers in Mexico, NY
- Julie Ann Manley
- Alicia Suzanne March
- Pamela M Marmon
- Patrice Martin
- Briana McCarthy
- Mexico Academy & Central School District
- Mexico Academy & Central School District
- Mexico Academy and Central School District
- Mexico Central School District
- Mexico High School
All providers in Mexico, NY · General Practice Registered Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2019. 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.