Burcham, Candace Haymore

Burcham, Candace Haymore is an individual health care provider with primary practice located at 401 Technology Ln Suite 200, Mount Airy NC 27030-6692. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Burcham, Candace Haymore can be contacted via phone (336) 789-2922.

Contact Information

Primary practice address
401 Technology Ln Suite 200 Mount Airy NC 27030-6692
Phone: (336) 789-2922
Fax: (336) 789-0856
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201941 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201941 North Carolina

Profile Details

NPI number 1861528820
LBN Legal business name Burcham, Candace Haymore
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Dec 12th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861528820 NPPES
North Carolina MEDICAID 7005738

Popular Providers