Candice L Vanderplaats (NPI# 1104178946, PAC ID# 7416100334) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1104178946 |
| PAC ID by PECOS | 7416100334 |
| Professional Enrollment ID | I20121231000044 |
| Full Name | Candice L Vanderplaats |
| Organization Legal Name | AVERA TYLER |
| Address |
240 Willow St Tyler MN 56178-1201 |
| Phone Number | 5072475521 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9638088537 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241348 | AVERA TYLER HOSPITAL |
| 241374 | PIPESTONE COUNTY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 240 Willow St, Tyler, MN 56178-1201 | 5072475521 | AVERA TYLER |
| Organization Legal Name | AVERA TYLER |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda K Beer | Nurse Practitioner | Avera Tyler | 366 E George St, Ivanhoe, MN 56142-9711 |
| Luann E Weber | Physician Assistant | Avera Tyler | 109 E Lake Benton St, Lake Benton, MN 56149-1309 |
| Daniel F Florey | Family Medicine | Avera Tyler | 240 Willow St, Tyler, MN 56178-1201 |
| Street Address |
240 WILLOW ST |
| City | TYLER |
| State | MN |
| Zip | 56178-1201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel F Florey | Family Medicine | Avera Tyler | 240 Willow St, Tyler, MN 56178-1201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher D Determan | Chiropractic | 100 E Hwy 14, Tyler, MN 56178-1101 | |
| Danaca Ann Janiszeski | Chiropractic | 117 W Hughes St, Tyler, MN 56178-1112 |
| City | TYLER |
| Zip Code | 56178 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TYLER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Candice L Vanderplaats.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.