Provider Demographics
NPI:1285866848
Name:MAURER, CANDACE M (CRNP)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:M
Last Name:MAURER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3631 PENNS VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:SPRING MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:16875
Mailing Address - Country:US
Mailing Address - Phone:814-422-8873
Mailing Address - Fax:814-422-8037
Practice Address - Street 1:3631 PENNS VALLEY RD
Practice Address - Street 2:
Practice Address - City:SPRING MILLS
Practice Address - State:PA
Practice Address - Zip Code:16875
Practice Address - Country:US
Practice Address - Phone:814-422-8873
Practice Address - Fax:814-422-8037
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP010410363L00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner