Provider Demographics
NPI:1346732005
Name:CANTWELL-FOY, CANDACE (CRNP)
Entity Type:Individual
Prefix:
First Name:CANDACE
Middle Name:
Last Name:CANTWELL-FOY
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CANDACE
Other - Middle Name:
Other - Last Name:FOY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:815 W KING RD
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-2855
Mailing Address - Country:US
Mailing Address - Phone:610-659-6791
Mailing Address - Fax:
Practice Address - Street 1:2301 S BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-3542
Practice Address - Country:US
Practice Address - Phone:215-873-3742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018777163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology