Provider Demographics
NPI:1114165347
Name:CURLEY, CANDY WOOD (ARNP)
Entity Type:Individual
Prefix:
First Name:CANDY
Middle Name:WOOD
Last Name:CURLEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CANDY
Other - Middle Name:
Other - Last Name:WOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:3613 NW NORWOOD ST
Mailing Address - Street 2:
Mailing Address - City:CAMAS
Mailing Address - State:WA
Mailing Address - Zip Code:98607-7397
Mailing Address - Country:US
Mailing Address - Phone:954-298-0491
Mailing Address - Fax:360-210-7515
Practice Address - Street 1:3613 NW NORWOOD ST
Practice Address - Street 2:
Practice Address - City:CAMAS
Practice Address - State:WA
Practice Address - Zip Code:98607-7397
Practice Address - Country:US
Practice Address - Phone:954-298-0491
Practice Address - Fax:360-210-7515
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007904363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily