Mckenna, Candace C.

Mckenna, Candace C. is an individual health care provider with primary practice located at 1101 Medical Center Blvd Er, Marrero LA 70072-3147. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mckenna, Candace C. can be contacted via phone (504) 349-1533.

Contact Information

Primary practice address
1101 Medical Center Blvd Er Marrero LA 70072-3147
Phone: (504) 349-1533
Fax: (504) 349-1530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN113883 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP07717 Louisiana

Profile Details

NPI number 1104852144
LBN Legal business name Mckenna, Candace C.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated May 14th, 2014 - about 11 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 1104852144 NPPES
Georgia MEDICAID 000832752E
Georgia MEDICAID 000832752C
Georgia MEDICAID 000832752B
Georgia MEDICAID 000832752A
Georgia MEDICAID NP0335
Georgia Other 10059157

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