Schmitz, Candace Jayne

Schmitz, Candace Jayne is an individual health care provider with primary practice located at 1919 E Thomas Rd East Building, Phoenix AZ 85016-7710. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Schmitz, Candace Jayne can be contacted via phone (602) 546-1784.

Contact Information

Primary practice address
1919 E Thomas Rd East Building Phoenix AZ 85016-7710
Fax: (602) 546-1785
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP3159 Arizona

Profile Details

NPI number 1083865299
LBN Legal business name Schmitz, Candace Jayne
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2008
Last updated Apr 27th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083865299 NPPES
Arizona MEDICAID 580434

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