CANDICE NICOLE MILLER


Address: 2713 S Main St, Ingleside, TX 78362
Phone: 3617765101

CANDICE NICOLE MILLER (NPI# 1518479930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518479930
Entity Type Individual
Full Name CANDICE NICOLE MILLER
Credential NP
Practice Address 2713 S Main St
Ingleside
TX 78362
Mailing Address 2713 Main St
Ingleside
TX 78362-5910
Practice Telephone 3617765101
Practice Fax Number 3617765136
Mailing Telephone 3617765101
Mailing Fax Number 3617765136
Enumeration Date 2017-10-25
Last Update Date 2017-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP135369 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers CANDICE MILLER

NPI Name Taxonomy Address Enumeration
1578692885 Candice S. Miller Social Worker 31 Purchase St, Suite 3-5, Rye, NY 10580-3013 2007-03-04
1407015993 Candice Colliard Miller Counselor 1727 Martin Luther King Jr Way, Suite #109, Oakland, CA 94612-1358 2008-06-09
1336266220 Candice M Miller Registered Nurse 1115 Weber St, Franklin, LA 70538-4124 2007-03-23

Office Location

Street Address 2713 S MAIN ST
City INGLESIDE
State TX
Zip Code 78362

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518488535 Elizabeth Elmore Physical Therapy Assistant 2246 Sunset Cliffs Dr, Ingleside, TX 78362 2017-06-29
1699910414 Benjamin Noel Paloy Carrido Military Health Care Provider 2969 Atlantic Blvd Apt 115, Ingleside, TX 78362 2008-12-08
1356438295 Mayfield Chiropractic Chiropractor 2168 Hwy 361, Ingleside, TX 78362 2006-10-10
1881796274 Stanley Dee Seymour Chiropractor 2681 State Hwy 361, Ingleside, TX 78362 2006-09-05
1306809967 Douglas Neil Holleman Sr. Military Health Care Provider Mhc Crew Inflict, Naval Station Ingleside, Ingleside, TX 78362 2006-04-06
1619944642 Damian J Lovello Military Health Care Provider 1632 Ticonderoga St, Uss Heron Mhc 52, Ingleside, TX 78362 2006-03-08
1720056609 Rudy Wilbert Arocha Military Health Care Provider Branch Health Clinic, 327 Coral Sea Dr. Suite 165, Ingleside, TX 78362 2006-03-08
1609043777 Jason Paul Fechner Military Health Care Provider 1451 Lexington Drive, Comcmron2, Ingleside, TX 78362 2008-05-08
1487843975 Wellmed Medical Group Pa Clinic/Center 2713 Main St, Ingleside, TX 78362 2007-10-19
1700090685 Ronald Derald Fryar Jr. Military Health Care Provider 1451 Lexington Drive, Ingleside, TX 78362 2007-05-09
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1629679782 Kristen Aili Johnson Nurse Practitioner 3850 Fm 18, Abilene, TX 79602-2004 2020-11-05
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Competitor

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City INGLESIDE
Zip Code 78362

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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