Provider Demographics
NPI:1477924207
Name:CANDLE, CIARA NICHOLE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CIARA
Middle Name:NICHOLE
Last Name:CANDLE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:CIARA
Other - Middle Name:NICHOLE
Other - Last Name:CICCOLELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:107 ROYAL BIRKDALE DR
Mailing Address - Street 2:STE A
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408-8493
Mailing Address - Country:US
Mailing Address - Phone:330-482-9350
Mailing Address - Fax:330-482-5695
Practice Address - Street 1:107 ROYAL BIRKDALE DR
Practice Address - Street 2:STE A
Practice Address - City:COLUMBIANA
Practice Address - State:OH
Practice Address - Zip Code:44408-8493
Practice Address - Country:US
Practice Address - Phone:330-482-9350
Practice Address - Fax:330-482-5695
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA. 17737-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily