Shockey, Candace Rae

Shockey, Candace Rae is an individual health care provider with primary practice located at 8015 W Alameda Ave #210, Lakewood CO 80226. 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. Shockey, Candace Rae can be contacted via phone (303) 742-0108.

Contact Information

Primary practice address
8015 W Alameda Ave #210 Lakewood CO 80226
Phone: (303) 742-0108
Fax: (303) 742-0690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 79280 Colorado

Profile Details

NPI number 1629185715
LBN Legal business name Shockey, Candace Rae
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1629185715 NPPES
Colorado MEDICAID 32086245

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