Halsted, Candis Leshawn

Halsted, Candis Leshawn is an individual health care provider with primary practice located at 20519 63Rd Ave E , Spanaway WA 98387-5773. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Halsted, Candis Leshawn can be contacted via phone (540) 525-8608.

Contact Information

Primary practice address
20519 63Rd Ave E Spanaway WA 98387-5773
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 61049959 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP.61212180 Washington

Profile Details

NPI number 1255005898
LBN Legal business name Halsted, Candis Leshawn
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2021
Last updated Aug 9th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255005898 NPPES
Washington Other 61049959 LICENSE

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