Stansfield, Candice Dawn
Stansfield, Candice Dawn is an individual health care provider with primary practice located at 1500 N Westwood Blvd , Poplar Bluff MO 63901-3318. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stansfield, Candice Dawn can be contacted via phone (573) 686-4151.Contact Information
Primary practice address
1500 N Westwood Blvd
Poplar Bluff MO 63901-3318
Phone: (573) 686-4151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NPF13877 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 151966 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 7698802-4405 | Utah |
Profile Details
| NPI number | 1932261591 |
|---|---|
| LBN Legal business name | Stansfield, Candice Dawn |
| Credentials | APRN-BC, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1932261591 | NPPES |
| Utah | Other | 7698802-8900 | UTAH APRN CONTROLLED SUBSTANCE SCHEDULE 2-5 LICENSE |
| Utah | Other | 7698802-4405 | UTAH APRN CONTROLLED SUBSTANCE SCHEDULE 2-5 LICENSE |
| Utah | Other | 151966 | UTAH APRN CONTROLLED SUBSTANCE SCHEDULE 2-5 LICENSE |
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