Davis, Candace-Rae Diana

Davis, Candace-Rae Diana is an individual health care provider with primary practice located at 1400 Us Highway 61 , Festus MO 63028-4100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, which is considered as her primary health care specialty. Davis, Candace-Rae Diana can be contacted via phone (314) 251-6299.

Contact Information

Primary practice address
1400 Us Highway 61 Festus MO 63028-4100
Phone: (314) 251-6299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 2013035101 Missouri

Profile Details

NPI number 1588213532
LBN Legal business name Davis, Candace-Rae Diana
Credentials DNP, RN, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2019
Last updated Dec 11th, 2023 - about last year

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.

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