Pellegrino, Candice Roseanne

Pellegrino, Candice Roseanne is an sole proprietor health care provider with primary practice located at 302 University Blvd , Round Rock TX 78665-1032. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Pellegrino, Candice Roseanne can be contacted via phone (512) 509-0200.

Contact Information

Primary practice address
302 University Blvd Round Rock TX 78665-1032
Phone: (512) 509-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01105 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA01105 Texas

Profile Details

NPI number 1922022938
LBN Legal business name Pellegrino, Candice Roseanne
Credentials M.P.A.C., P.A.-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated May 22nd, 2024 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922022938 NPPES
Texas Other 1821185299 AGENCY (BVCAA, INC.) NPI

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