Provider Demographics
NPI:1235839580
Name:DAMRON, CANDICE HELEN (FNP-C)
Entity Type:Individual
Prefix:
First Name:CANDICE
Middle Name:HELEN
Last Name:DAMRON
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:CANDICE
Other - Middle Name:
Other - Last Name:DAMRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:388299 AZ 75
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:AZ
Mailing Address - Zip Code:85534-8204
Mailing Address - Country:US
Mailing Address - Phone:520-270-8564
Mailing Address - Fax:
Practice Address - Street 1:227 MAIN ST
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:AZ
Practice Address - Zip Code:85534-9701
Practice Address - Country:US
Practice Address - Phone:928-359-1380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ288656363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily