Provider Demographics
NPI:1144424771
Name:FALLS, CANDICE DAWN (ARNP)
Entity Type:Individual
Prefix:
First Name:CANDICE
Middle Name:DAWN
Last Name:FALLS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:DAWN
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:UK DIVISION OF CARDIOLOGY
Mailing Address - Street 2:900 S. LIMESTONE ST., CTW320
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0200
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:859-257-6060
Practice Address - Street 1:UK DIVISION OF CARDIOLOGY
Practice Address - Street 2:900 S. LIMESTONE ST., CTW320
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0200
Practice Address - Country:US
Practice Address - Phone:859-323-3976
Practice Address - Fax:859-257-6060
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5105P363LA2100X, 363L00000X
KY3005105363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000667607OtherANTHEM
KY7100020930Medicaid
KY0527431Medicare PIN