Provider Demographics
NPI:1568182996
Name:SCALISE-TURNER, CANDICE RANEE (ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:CANDICE
Middle Name:RANEE
Last Name:SCALISE-TURNER
Suffix:
Gender:F
Credentials:ACNPC-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3004 DEER TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-3964
Mailing Address - Country:US
Mailing Address - Phone:832-875-1318
Mailing Address - Fax:
Practice Address - Street 1:250 BLOSSOM ST STE 275
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4241
Practice Address - Country:US
Practice Address - Phone:832-553-6126
Practice Address - Fax:832-553-6126
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1091097363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care