Whitely, Candice D
Whitely, Candice D is an individual health care provider with primary practice located at 4940 Van Nuys Blvd Ste 200 , Sherman Oaks CA 91403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Whitely, Candice D can be contacted via phone (818) 380-2626.Contact Information
Primary practice address
4940 Van Nuys Blvd Ste 200
Sherman Oaks CA 91403
Phone: (818) 380-2626
Fax: (818) 380-2620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95004880 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 335778 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9295215 | Florida |
Profile Details
| NPI number | 1881832558 |
|---|---|
| LBN Legal business name | Whitely, Candice D |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2009 |
| Last updated | Jul 13th, 2018 - about 6 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 | 1881832558 | NPPES |
| Florida | Other | P00756650 | RAILROAD MEDICARE |
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