Ray, Candace M.
Ray, Candace M. is an individual health care provider with primary practice located at 1450 Medical Center Dr Suite 3, Rohnert Park CA 94928-2924. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ray, Candace M. can be contacted via phone (707) 584-8588.Contact Information
Primary practice address
1450 Medical Center Dr Suite 3
Rohnert Park CA 94928-2924
Phone: (707) 584-8588
Fax: (707) 584-2869
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 14319 | California |
Profile Details
NPI number | 1548374028 |
---|---|
LBN Legal business name | Ray, Candace M. |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 19th, 2006 |
Last updated | Jan 5th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548374028 | NPPES |
California | Other | 284881 | REGISTERED NURSE LICENSE |
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