Provider Demographics
NPI:1417950718
Name:BABB, CANDY MARIE (APRN-BC, FNP, MSN)
Entity Type:Individual
Prefix:MS
First Name:CANDY
Middle Name:MARIE
Last Name:BABB
Suffix:
Gender:F
Credentials:APRN-BC, FNP, MSN
Other - Prefix:
Other - First Name:CANDY
Other - Middle Name:MARIE
Other - Last Name:BABB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN-BC, FNP, MSN
Mailing Address - Street 1:2142 N COVE BLVD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3895
Mailing Address - Country:US
Mailing Address - Phone:419-291-3627
Mailing Address - Fax:419-291-2142
Practice Address - Street 1:2830 SHERBROOKE RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3745
Practice Address - Country:US
Practice Address - Phone:419-291-3627
Practice Address - Fax:419-291-3627
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP-08015363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily